Provider Demographics
NPI:1881102887
Name:FRITSCH, AMY (LMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FRITSCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 MCLEOD RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1040
Mailing Address - Country:US
Mailing Address - Phone:513-917-1981
Mailing Address - Fax:
Practice Address - Street 1:3206 MCLEOD RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1040
Practice Address - Country:US
Practice Address - Phone:513-917-1981
Practice Address - Fax:513-917-1981
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF609845781106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist