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NPI Code Detail

MEDICARE: RACHAEL ANN FRICKE LAC, LPC-MH, LPCC

MEDICARE: RACHAEL ANN FRICKE LAC, LPC-MH, LPCC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor16091731SD
2101YM0800XMental Health Counselor112727IA
3101YM0800XMental Health CounselorLPC7420SD
4101YP2500XProfessional CounselorCC03615MN
5101YP2500XProfessional CounselorLPC-MH30593SD

General Provider Information

NPI Number : 1144839788
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL ANN FRICKE LAC, LPC-MH, LPCC
Provider Business Mailing Address
First Line : 8016 E NORWAY PINE TRL
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57110-4047
Country : US
Telephone Number : 712-363-4349
Fax Number :
Provider Business Practice Location Address
First Line : 7511 S LOUISE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5997
Country : US
Telephone Number : 605-312-8700
Fax Number : 605-312-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 11/06/2024

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Directions to “ RACHAEL ANN FRICKE LAC, LPC-MH, LPCC” Practice Location

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