Provider Demographics
NPI:1215581277
Name:FRITSCH, NATALIE (MA, LADC, LPCC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:FRITSCH
Suffix:
Gender:F
Credentials:MA, LADC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 CITY PLACE BLVD UNIT 2504
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-5519
Mailing Address - Country:US
Mailing Address - Phone:651-895-4544
Mailing Address - Fax:
Practice Address - Street 1:1518 E LAKE ST STE 230
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1750
Practice Address - Country:US
Practice Address - Phone:612-547-9957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN304518101YA0400X
MN3084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)