Jennifer A Fraser, LPC
Counselor, Professional in Irving, TX. Individual provider (NPI-1).
NPI number1982244588
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1982244588
- Entity type
- Individual (NPI-1)
- Name
- Jennifer A Fraser
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 77159 | TX | Yes |
Practice location
400 E Royal Ln Ste 290Irving, TX 75039-3602
Phone 972-869-7600
Mailing address
801 Lake Carolyn Pkwy Apt 3025Irving, TX 75039-4669
Phone 972-674-6258
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