Individual
DR. TRACI LYNN FRITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, NCSP, LPC
Contact information
Practice address
88 W COMMERCE DR, SUITE C, HAYDEN, ID 83835-7994
(208) 762-4405
Mailing address
88 W COMMERCE DR, SUITE C, HAYDEN, ID 83835-7994
(208) 783-7687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4041
ID
103TS0200X
School Psychologist
—
ID
Other
Enumeration date
01/11/2012
Last updated
03/28/2024
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