Doctor Name: | JOE FRAZIER |
NPI Number: | 1023454931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 1851766 |
Business Practice Address: | 400 W Estrella Ave Ajo, AZ - 853212708 |
Business Phone Number: | 4897177146 |
Business Fax Number: | 5205624067 |
Mailing Address: | 400 W Estrella Ave, AJO |
State: | AZ |
Postal Code: | 853212708 |
Phone Number: | 4897177146 |
Fax Number: | 5205624067 |
NPI Enumeration Date: | 05/18/2013 |
NPI Last Update Date: | 05/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1851766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |