MEDICARE: KORTNEY FRITTS

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

General Provider Information

NPI Number	:	1750150660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORTNEY FRITTS

Provider Business Mailing Address
First Line	:	100 PASIGO ST
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-2442
Country	:	US
Telephone Number	:	541-573-8673
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 PASIGO ST
Second Line	:
City	:	BURNS
State	:	OR
Zip	:	97720-2442
Country	:	US
Telephone Number	:	541-573-8673
Fax Number	:

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

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	08/04/2025

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Directions to “ KORTNEY FRITTS ” Practice Location

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