| Doctor Name: | ELISABETH FRICKE-AIAZZI |
| NPI Number: | 1124440698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSC, MA |
| License Number: | 00085-I |
| Business Practice Address: | 1512 Us Highway 395 N Suite 2 Gardnerville, NV - 894105282 |
| Business Phone Number: | 7754007241 |
| Business Fax Number: | 7757828637 |
| Mailing Address: | 1255 Centerville Ln # B, GARDNERVILLE |
| State: | NV |
| Postal Code: | 894609730 |
| Phone Number: | 7754007241 |
| Fax Number: | 7757828637 |
| NPI Enumeration Date: | 01/17/2014 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 00085-I |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |