Provider Demographics
NPI:1871152413
Name:FRAZIER, VERONICA (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 OAKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1429
Mailing Address - Country:US
Mailing Address - Phone:972-489-0119
Mailing Address - Fax:
Practice Address - Street 1:1411 TAPERWICKE DR
Practice Address - Street 2:UNIT 115
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-4609
Practice Address - Country:US
Practice Address - Phone:972-489-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2022-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202504101YM0800X
TX75189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health