MEDICARE: JESSICA FRICKE MA, LMFT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952852840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FRICKE MA, LMFT

Provider Business Mailing Address
First Line	:	3051 MILAN ST
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5836
Country	:	US
Telephone Number	:	717-598-7372
Fax Number	:	484-229-9189

Provider Business Practice Location Address
First Line	:	3051 MILAN ST
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5836
Country	:	US
Telephone Number	:	484-259-7809
Fax Number	:	484-229-9189

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

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	03/14/2023

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