MEDICARE: MRS. FRANCES EDWARDS FRAZIER POPE LPCC/LPCS/LCMHC/LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CTB-2023-0796	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CTB-2023-0796	OTHER	NM	LICENSED PROFESSIONAL CLINICAL COUNSELOR
2	5623	OTHER	SC	LICENSED PROFESSIONAL COUNSELOR - SOUTH CAROLINA
3	6903	OTHER	NC	NCBLPC
4	6740	OTHER	SC	LICENSED PROFESSIONAL COUNSELOR SUPERVISOR

General Provider Information

NPI Number	:	1063654432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES EDWARDS FRAZIER POPE LPCC/LPCS/LCMHC/LAC

Provider Business Mailing Address
First Line	:	404 TULANE PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2156
Country	:	US
Telephone Number	:	803-743-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 YALE BLVD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4383
Country	:	US
Telephone Number	:	505-994-7983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2009
Last Update Date	:	03/28/2024

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