Provider Demographics
NPI:1174804249
Name:FRAZEE, DONALD ROYCE SR (LPC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:ROYCE
Last Name:FRAZEE
Suffix:SR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 SHERWOOD FOREST ST APT 19
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-3012
Mailing Address - Country:US
Mailing Address - Phone:713-829-1618
Mailing Address - Fax:
Practice Address - Street 1:1831 SHERWOOD FOREST ST APT 19
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-3012
Practice Address - Country:US
Practice Address - Phone:713-829-1618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health