| Doctor Name: | MATTHEW JOHN FRITSCHER |
| NPI Number: | 1073819306 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | CC00213 |
| Business Practice Address: | 7260 University Ave Ne Suite 235 Fridley, MN - 55432 |
| Business Phone Number: | 7635722605 |
| Business Fax Number: | 7635722606 |
| Mailing Address: | 7260 University Ave Ne, Suite 235 FRIDLEY |
| State: | MN |
| Postal Code: | 55432 |
| Phone Number: | 7635722605 |
| Fax Number: | 7635722606 |
| NPI Enumeration Date: | 02/03/2011 |
| NPI Last Update Date: | 02/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC00213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |