Provider Demographics
NPI:1265910459
Name:FRICKE, WHITNEY SUE (MA, NCC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SUE
Last Name:FRICKE
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N MICHIGAN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7940
Mailing Address - Country:US
Mailing Address - Phone:312-210-9357
Mailing Address - Fax:312-428-3093
Practice Address - Street 1:23 E DIVISION ST APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3480
Practice Address - Country:US
Practice Address - Phone:419-906-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health