Individual
BRIAN P FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
Mailing address
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401018458
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401018458
MI
101YM0800X
Mental Health Counselor
6401018458
MI
101YP2500X
Professional Counselor
6401018458
MI
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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