National Provider Identifier

Jacob David Bourne-Frazer

Jacob David Bourne-Frazer is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 368-6700.

NPI 1083337109Rochester, NYMental Health Counselor

Source: public NPPES record, last updated July 25, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1083337109
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 23, 2022
Last Updated
July 25, 2023

Practice Location

  • 100 Pinewild Dr Ste 2A
  • Rochester, NY 14606-4200

Phone: (585) 368-6700

Specialties

  • Mental Health Counselor (101YM0800X)

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Full Record
NPI
1083337109
Entity Type
Individual
Last Name
Bourne-Frazer
First Name
Jacob
Middle Name
David
Mailing Street Address
100 Pinewild Dr Ste 2A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-4200
Mailing Country
US
Mailing Phone
(585) 368-6700
Mailing Fax
(585) 368-6767
Practice Street Address
100 Pinewild Dr Ste 2A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-4200
Practice Country
US
Practice Phone
(585) 368-6700
Practice Fax
(585) 368-6767
Enumeration Date
September 23, 2022
Last Updated
July 25, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 25, 2023
Taxonomies
Mental Health Counselor (101YM0800X)