MEDICARE: MR. ADRIAN FRITZKE LPC, LPCC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC016445	PA
2	101YM0800X	Mental Health Counselor	E.2404169	OH
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043983190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADRIAN FRITZKE LPC, LPCC, NCC

Provider Business Mailing Address
First Line	:	2093 PHILADELPHIA PIKE # 9097
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:	814-273-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	9672 GINNY LN
Second Line	:
City	:	NORTH EAST
State	:	PA
Zip	:	16428-3884
Country	:	US
Telephone Number	:	814-273-6920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	09/11/2024

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