Frasier, Deidre Cecile
Frasier, Deidre Cecile is an sole proprietor health care provider with primary practice located at 3560 Delaware St Suite 905, Beaumont TX 77706-3067. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Frasier, Deidre Cecile can be contacted via phone (409) 454-3743.Contact Information
Primary practice address
3560 Delaware St Suite 905
Beaumont TX 77706-3067
Phone: (409) 454-3743
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12510 | Texas |
Profile Details
| NPI number | 1679772271 |
|---|---|
| LBN Legal business name | Frasier, Deidre Cecile |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Aug 28th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679772271 | NPPES |
| Texas | Other | 3253LC | BCBS |
| Texas | MEDICAID | 11299793-04 | BCBS |
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