Provider Demographics
NPI:1952508566
Name:FRIZZELL, BRIAN G (MA, MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:G
Last Name:FRIZZELL
Suffix:
Gender:M
Credentials:MA, MS, LPC
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Mailing Address - Street 1:1740 S GLENSTONE AVE
Mailing Address - Street 2:SUITE P
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1523
Mailing Address - Country:US
Mailing Address - Phone:417-881-9800
Mailing Address - Fax:417-882-7413
Practice Address - Street 1:1740 S GLENSTONE AVE
Practice Address - Street 2:SUITE P
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1523
Practice Address - Country:US
Practice Address - Phone:417-881-9800
Practice Address - Fax:417-882-7413
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO102002019217101Y00000X
MO2002019217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health