Frisque, Cassondra

Frisque, Cassondra is an individual health care provider with primary practice located at 300 Crooks St , Green Bay WI 54301-4527. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Frisque, Cassondra can be contacted via phone (920) 436-6800.

Contact Information

Primary practice address
300 Crooks St Green Bay WI 54301-4527
Phone: (920) 436-6800
Fax: (920) 432-5966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18706 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16562 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4676 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 8635 Wisconsin

Profile Details

NPI number 1649898636
LBN Legal business name Frisque, Cassondra
Credentials MS, LPC, SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2020
Last updated Mar 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649898636 NPPES
Wisconsin MEDICAID 1649898636
Wisconsin Other 8635-125
Wisconsin Other 16562-131

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