Provider Demographics
NPI:1952543225
Name:FRITZ, CONNIE KAY (MS,NCC,LPC,LPCMH,LAC)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:KAY
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MS,NCC,LPC,LPCMH,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-274-1944
Mailing Address - Fax:605-274-1945
Practice Address - Street 1:6209 E SILVER MAPLE CIR STE 2
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-7806
Practice Address - Country:US
Practice Address - Phone:605-274-1944
Practice Address - Fax:605-274-1945
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD08111373101YA0400X
SDLPC7067101YP2500X
SDLPC-MH2205101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional