Organization
SAGE THERAPY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEKOU FRASER PHD, LPC (LPC)
(469) 232-4895
Entity
Organization
Contact information
Practice address
1910 PACIFIC AVE STE 17090, DALLAS, TX 75201-4828
(469) 232-4895
Mailing address
1910 PACIFIC AVE STE 17090, DALLAS, TX 75201-4828
(469) 232-4895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76078
TX
Other
Enumeration date
07/25/2016
Last updated
07/07/2022
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