person
Mr. John Paul Larson, SAC-IT
Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin
NPI 1619520251

John Paul Larson is an Addiction (Substance Use Disorder) Counselor based in Fond Du Lac, WI and is specialized in Addiction (Substance Use Disorder). John Paul Larson practices in Fond Du Lac, WI and has the professional credentials of SAC-IT. The NPI Number for John Paul Larson is 1619520251 and holds a License No. 18138-130 (Wisconsin).

The current practice location address for John Paul Larson is 430 E Division St, Fond Du Lac, WI and can be reached out via phone at 920-926-4172.

Location: 430 E Division St, Fond Du Lac, WI, 54935-4560
person
Provider Profile Details
NPI Number
1619520251
Provider Name
John Paul Larson
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
430 E Division St, Fond Du Lac, WI, 54935-4560
Phone Number
920-926-4172
Fax Number
Provider Enumeration Date
07/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 E Division St
City
State
Zip
54935-4560
Phone Number
920-926-4172
Fax Number
person
Provider Business Mailing Address Details
Address
430 E Division St
City
State
Zip
54935-4560
Phone Number
920-926-4172
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18138-130 (Wisconsin)
Definition
Definition to come...
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