SearchVirginia101YA0400X

Tiesha Fraser, MA, LCADC, LSATP

NPI 1023952967 · on the registry since 2026 · sole proprietor

Practice

Address
4102 6th St
Richmond, VA 23223
Phone
(848) 275-9089

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia