Provider Demographics
NPI:1952829483
Name:FRICK, ELEONORA (LMHC)
Entity Type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:FRICK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELEONORA
Other - Middle Name:
Other - Last Name:PRIKHODKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:203 161ST PL SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5953
Mailing Address - Country:US
Mailing Address - Phone:425-610-7065
Mailing Address - Fax:
Practice Address - Street 1:203 161ST PL SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-5953
Practice Address - Country:US
Practice Address - Phone:425-610-7065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program