Provider Demographics
NPI:1043983190
Name:FRITZKE, ADRIAN (LPC)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:FRITZKE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 GRANDVIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-2077
Mailing Address - Country:US
Mailing Address - Phone:814-676-5614
Mailing Address - Fax:814-677-5760
Practice Address - Street 1:806 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2064
Practice Address - Country:US
Practice Address - Phone:814-676-5614
Practice Address - Fax:814-677-5760
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016445101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health