Individual provider · Type 1 NPI

Kerry Frazier, COTA

Mental Health Counselor · Van, TX

NPI number 1902386626 Active · reactivated Oct 20, 2026

Practice location

211 E Main St
Van, TX 75790-2933

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X104348 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1902386626

Kerry Frazier, COTA's National Provider Identifier is 1902386626, issued on Aug 21, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Van, TX. The record was last updated on Oct 21, 2026.