Individual
DARRELLE LERAAN FRICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC NCC
Contact information
Practice address
4191 S ELIOT ST, ENGLEWOOD, CO 80110-4314
(303) 263-1882
Mailing address
4191 S ELIOT ST, ENGLEWOOD, CO 80110-4314
(303) 263-1882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0013846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14362154
CAQH PROVIDER
—
Enumeration date
11/08/2016
Last updated
11/01/2018
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