Individual
JESSICA FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
3051 MILAN ST, EASTON, PA 18045-5836
(484) 259-7809
(484) 229-9189
Mailing address
3051 MILAN ST, EASTON, PA 18045-5836
(717) 598-7372
(484) 229-9189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID
NJ
01
—
8363102
AGENCY MEDICAID
NJ
Enumeration date
10/17/2016
Last updated
03/14/2023
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