Provider Demographics
NPI:1730250507
Name:LLADO-FRAZER, ESTEBANIA (MA)
Entity type:Individual
Prefix:
First Name:ESTEBANIA
Middle Name:
Last Name:LLADO-FRAZER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 NEVILLE ST STE B
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-4342
Mailing Address - Country:US
Mailing Address - Phone:304-763-7046
Mailing Address - Fax:
Practice Address - Street 1:832 NEVILLE ST STE B
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4342
Practice Address - Country:US
Practice Address - Phone:304-763-7046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator