Provider Demographics
NPI:1770948630
Name:FRASCINO, ALEXANDRA (MS LMFT-S)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:FRASCINO
Suffix:
Gender:F
Credentials:MS LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 CEDAR SPRINGS RD APT 216
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-1308
Mailing Address - Country:US
Mailing Address - Phone:972-965-9692
Mailing Address - Fax:
Practice Address - Street 1:8333 DOUGLAS AVE STE 350
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5802
Practice Address - Country:US
Practice Address - Phone:214-471-1538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-20
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202180106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty