Provider Demographics
NPI:1598185829
Name:FRITZ, JESSICA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:FRITZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 GIDNEY AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2800
Mailing Address - Country:US
Mailing Address - Phone:845-569-2900
Mailing Address - Fax:866-619-5710
Practice Address - Street 1:633 GIDNEY AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2800
Practice Address - Country:US
Practice Address - Phone:845-569-2900
Practice Address - Fax:866-619-5710
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005865-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health