Provider Demographics
NPI:1043983190
Name:FRITZKE, ADRIAN (LPC, LPCC, NCC)
Entity type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:FRITZKE
Suffix:
Gender:M
Credentials:LPC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2093 PHILADELPHIA PIKE # 9097
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-2424
Mailing Address - Country:US
Mailing Address - Phone:814-273-6920
Mailing Address - Fax:
Practice Address - Street 1:9672 GINNY LN
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428-3884
Practice Address - Country:US
Practice Address - Phone:814-273-6920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016445101YM0800X
OHE.2404169101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health