Healthcare Provider Details

I. General information

NPI: 1063654432
Provider Name (Legal Business Name): FRANCES EDWARDS FRAZIER POPE LPCC/LPCS/LCMHC/LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 YALE BLVD SE
ALBUQUERQUE NM
87106-4383
US

IV. Provider business mailing address

404 TULANE PL NE
ALBUQUERQUE NM
87106-2156
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-7983
  • Fax:
Mailing address:
  • Phone: 803-743-6161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2023-0796
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: