Mr. Michael G. Frost
Addiction Counselor (Substance Use Disorder)
1201 Tuckaway Ln
Menasha
, Wisconsin 54952-1704
Mr. Michael G. Frost
Addiction Counselor (Substance Use Disorder)
1201 Tuckaway Ln
Menasha
, Wisconsin 54952-1704
(920) 833-7085
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Michael G. Frost
- 936 Green St
- Seymour, WI
- Zip : 54165-1616
- Phone : (920) 833-7085
Second Address
- Mr. Michael G. Frost
- 1201 Tuckaway Ln
- Menasha, WI
- Zip : 54952-1704
- Fax : (920) 733-4796
- Phone : (920) 733-4443
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003950965 |
|---|---|
| Provider Name | Mr. Michael G. Frost |
| First Address | Seymour, WI 54165-1616 |
| Second Address | Menasha, WI 54952-1704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.