Provider Demographics
NPI:1316473705
Name:FRITZ, FRED JOSEPH (LPC, NCC, CSAC)
Entity type:Individual
Prefix:
First Name:FRED
Middle Name:JOSEPH
Last Name:FRITZ
Suffix:
Gender:M
Credentials:LPC, NCC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CAREN DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3727
Mailing Address - Country:US
Mailing Address - Phone:757-635-9584
Mailing Address - Fax:
Practice Address - Street 1:1553 BRADFORD RD
Practice Address - Street 2:STE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-4021
Practice Address - Country:US
Practice Address - Phone:757-453-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional