Individual provider · Type 1 NPI
Brenda Joy Fricke, MA, LPC
Professional Counselor · Dixon, MO
NPI number
1114077864
Active
Practice location
402 S Elm, Box 798
Dixon, MO 65459
Fax (573) 774-6992
Mailing address
25945 Sandlewood Ln, PO Box 175
Laquey, MO 65534-7615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2003002001 (MO) |
Professional Counselor: Definition to come...
Other professional counselor providers in Dixon
About NPI 1114077864
Brenda Joy Fricke, MA, LPC's National Provider Identifier is 1114077864, issued on Jan 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dixon, MO. The record was last updated on Jul 9, 2007.