Provider Demographics
NPI:1295437937
Name:FRITCHMAN, SHANNON APRIL (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:APRIL
Last Name:FRITCHMAN
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 HIGHWAY 92 STE 300
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-3441
Mailing Address - Country:US
Mailing Address - Phone:970-765-8559
Mailing Address - Fax:
Practice Address - Street 1:494 HIGHWAY 92 STE 300
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-3441
Practice Address - Country:US
Practice Address - Phone:970-765-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021580101YM0800X
CO0019695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health