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NPI Code Detail

MEDICARE: MR. JIM RYAN FRANSON LPC, CSAC, ICS

MEDICARE:  MR. JIM RYAN FRANSON  LPC, CSAC, ICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor15638WI
2101YP2500XProfessional Counselor6421WI

General Provider Information

NPI Number : 1770875221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JIM RYAN FRANSON LPC, CSAC, ICS
Provider Business Mailing Address
First Line : 2807 E LOURDES DR
Second Line :
City : APPLETON
State : WI
Zip : 54915-3914
Country : US
Telephone Number : 920-450-4145
Fax Number :
Provider Business Practice Location Address
First Line : 3150 GERSHWIN DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-4328
Country : US
Telephone Number : 920-391-4700
Fax Number : 920-391-4731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 10/17/2024

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Directions to “ MR. JIM RYAN FRANSON LPC, CSAC, ICS” Practice Location

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