Doctor Name: | RICKY LEE FROELICH |
NPI Number: | 1043226327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 267 |
Business Practice Address: | 6000 Lamar Ave Ste 130 Mission, KS - 662023234 |
Business Phone Number: | 9138312550 |
Business Fax Number: | 9138261589 |
Mailing Address: | 1125 W Spruce St, OLATHE |
State: | KS |
Postal Code: | 660613123 |
Phone Number: | 9137822100 |
Fax Number: | 9138261589 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |