MEDICARE: BRENDA JOY FRICKE MA, LPC

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	101YP2500X	Professional Counselor	2003002001	MO

General Provider Information

NPI Number	:	1114077864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA JOY FRICKE MA, LPC

Provider Business Mailing Address
First Line	:	25945 SANDLEWOOD LN
Second Line	:	PO BOX 175
City	:	LAQUEY
State	:	MO
Zip	:	65534-7615
Country	:	US
Telephone Number	:	573-528-3558
Fax Number	:	573-774-6992

Provider Business Practice Location Address
First Line	:	402 S ELM
Second Line	:	BOX 798
City	:	DIXON
State	:	MO
Zip	:	65459
Country	:	US
Telephone Number	:	573-528-3558
Fax Number	:	573-774-6992

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1164427324 — MRS. CARLENE S MCMILLIAN F.N.P.
Practice Location Address:

206 W. 2ND STREET
DIXON, MO
65459-0940

Practice Phone: 573-759-3030
Practice Fax: 573-759-3131

1235135682 — DIXON FAMILY PRACTICE AND INTERNAL MEDICINE, LLC
Practice Location Address:

206 WEST 2ND STREET
DIXON, MO
65459-0940

Practice Phone: 573-759-3030
Practice Fax: 573-759-3131

1699761080 — N & R OF DIXON, LLC
Practice Location Address:

403 E 10TH ST
DIXON, MO
65459-6049

Practice Phone: 573-759-2135
Practice Fax: 573-759-2600

1083695902 — TOWN & COUNTRY SUPER MARKET INC
Practice Location Address:

508 E 5TH ST
DIXON, MO
65459-6201

Practice Phone: 573-759-3073
Practice Fax: 573-759-3560

1134282429 — HOMETOWN PHARMACY
Practice Location Address:

206 WEST 2ND STREET
DIXON, MO
65459-0220

Practice Phone: 573-759-2230
Practice Fax: 573-759-3131

1770621542 — DIXON AMBULANCE DISTRICT
Practice Location Address:

305 S. ELLEN ST.
DIXON, MO
65459

Practice Phone: 573-759-7447
Practice Fax: 573-759-7098

Directions to “ BRENDA JOY FRICKE MA, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.