Individual
MRS. LISA MARIE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
206 W IRONWOOD DR # 1012, COEUR D ALENE, ID 83814-2640
(757) 645-7722
(757) 645-2808
Mailing address
206 W IRONWOOD DR # 1012, COEUR D ALENE, ID 83814-2640
(757) 645-7722
(757) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005793
VA
101YP2500X
Professional Counselor
LCPC-8346
ID
106H00000X
Marriage & Family Therapist
0717001312
VA
106H00000X
Marriage & Family Therapist
LMFT-8348
ID
Other
Enumeration date
04/25/2014
Last updated
09/09/2022
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