BRENDA JOY FRICKE


Address: 402 S Elm, Box 798, Dixon, MO 65459
Phone: 5735283558

BRENDA JOY FRICKE (NPI# 1114077864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114077864
Entity Type Individual
Full Name BRENDA JOY FRICKE
Credential MA, LPC
Practice Address 402 S Elm
Box 798
Dixon
MO 65459
Mailing Address 25945 Sandlewood Ln
Po Box 175
Laquey
MO 65534-7615
Practice Telephone 5735283558
Practice Fax Number 5737746992
Mailing Telephone 5735283558
Mailing Fax Number 5737746992
Enumeration Date 2007-01-12
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2003002001 MO Behavioral Health & Social Service Providers

Office Location

Street Address 402 S ELM
BOX 798
City DIXON
State MO
Zip Code 65459

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205091139 William Edward Colyer Family Medicine Hwy 28 100 E. 5th Street, Dixon, MO 65459 2008-07-21
1770621542 Dixon Ambulance District Ambulance 305 S. Ellen St., Dixon, MO 65459 2007-02-02
1124152855 Romar Gianan Milos Physical Therapist 106 West Fourth Street, Dixon, MO 65459-0166 2007-03-15
1255471587 Dixon Reorganized Dist R1 Physical Therapist 106 W Fourth St, Dixon, MO 65459-0166 2007-02-07
1992997852 Yvette Labajo Jakosalem Occupational Therapist 106 W Fourth St, Dixon Reorgaized Distr R-1, Dixon, MO 65459-0166 2007-08-15
1316070444 Julia Clodius Cooke Speech-Language Pathologist 106 W Fourth St, Box A, Dixon, MO 65459-0166 2007-03-14
1134282429 Hometown Pharmacy Pharmacy 206 West 2nd Street, Dixon, MO 65459-0220 2006-12-18
1235135682 Dixon Family Practice and Internal Medicine, LLC Family Medicine 206 West 2nd Street, Dixon, MO 65459-0940 2005-06-21
1164427324 Carlene S Mcmillian Nurse Practitioner 206 W. 2nd Street, Dixon, MO 65459-0940 2005-06-15
1285817361 Denise Lorenz Counselor 402 South Elm St, Dixon, MO 65459-6004 2007-12-11
Find all providers in zip 65459

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336792514 Casey Villescas Counselor 115 E 1st St Ste 120, Dixon, IL 61021-3023 2019-07-17
1073963963 Stacy Jo Barber Counselor 820 Colony Rd, Dixon, IL 61021-9027 2016-06-21
1841620010 Michelle Lenz Counselor Sinnissippi Centers, Inc. Route 2 325 Il Rt. 2, Dixon, IL 61021-9118 2013-11-25
1285817361 Denise Lorenz Counselor 402 South Elm St, Dixon, MO 65459-6004 2007-12-11
1073160537 Roots & Wings Therapy LLC Counselor 115 E 1st St Ste 120, Dixon, IL 61021-3023 2019-08-20
1477069847 Mobre Counseling Services, LLC Counselor 119 W 1st St Ste 110, Dixon, IL 61021-3056 2017-12-21
1639607278 Timothy James Schoonover Counselor 325 Illinois Rt 2, Dixon, IL 61021-9118 2017-05-26
1831541150 Brooke Garcia-nettz Counselor 119 W 1st St, Suite 110, Dixon, IL 61021-3056 2016-07-11
1235518580 James Hagler Counselor 2600 N Brinton Ave, Dixon, IL 61021-9532 2015-05-20
1669709648 Alliances Counseling Services Counselor 119 W 1st St, Suite 110, Dixon, IL 61021-3056 2009-11-11
Find all providers in DIXON

Competitor

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City DIXON
Zip Code 65459

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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