Preston James Vaughn Frazier Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1760346753

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

SWB-2025-1149 (NM)

Sex

Male

Sole proprietor

No

Enumerated

2025-12-12

Last updated

2025-12-26