Provider Demographics
NPI:1457588493
Name:FRAZIER, JANET EILEEN (LMFT, DR PH)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:EILEEN
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LMFT, DR PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 SANTA ANA CANYON ROAD
Mailing Address - Street 2:SU 255
Mailing Address - City:ANAHEIM HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92807
Mailing Address - Country:US
Mailing Address - Phone:714-777-6559
Mailing Address - Fax:714-998-4288
Practice Address - Street 1:5500 SANTA ANA CANYON ROAD
Practice Address - Street 2:SUITE 255
Practice Address - City:ANAHEIM HILLS
Practice Address - State:CA
Practice Address - Zip Code:92807
Practice Address - Country:US
Practice Address - Phone:714-777-6559
Practice Address - Fax:714-998-4288
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT47255106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist