MR. JOHN PAUL LARSON SAC-IT NPI 1619520251

NPI Information

  • NPI: 1619520251
  • Provider Name: MR. JOHN PAUL LARSON, SAC-IT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 430 E DIVISION ST
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 926-4172

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NPI Details

MR. John Paul Larson, SAC-IT is an addiction (substance use disorder) counselor in Fond Du Lac, WI. MR. John Paul Larson, SAC-IT NPI is 1619520251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 E DIVISION ST
FOND DU LAC, WI
ZIP 54935-560
Phone: (920) 926-4172

The enumeration date for this NPI number is 7/23/2019 and was last updated on 7/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)18138-130WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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