BRENDA JOY FRICKE MA, LPC
NPI 1114077864
Counselor - Professional in Dixon, MO
- Individual
- Female
- Counselor
- Professional
About BRENDA FRICKE
This page provides the complete NPI Profile along with additional information for Brenda Fricke, a provider established in Dixon, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114077864 assigned on January 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 2003002001 (MO). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1114077864 Verify this NPI
- Provider Name
- BRENDA JOY FRICKE MA, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 402 S ELM BOX 798 DIXON, MO 65459
- Location Phone
- (573) 528-3558
- Location Fax
- (573) 774-6992
- Mailing Address
- 25945 SANDLEWOOD LN PO BOX 175 LAQUEY, MO 65534
- Mailing Phone
- (573) 528-3558
- Mailing Fax
- (573) 774-6992
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2007
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2003002001
- License State
- MO
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114077864, enumerated as an "individual" on January 12, 2007.
The provider is located at 402 S ELM BOX 798 DIXON, MO 65459 and the phone number is (573) 528-3558.
Counselor with taxonomy code 101YP2500X and a focus in Professional.