Individual provider · Type 1 NPI

Mica Rae Frandsen

Addiction (Substance Use Disorder) Counselor · Davenport, IA

NPI number 1235637869 Active

Practice location

1523 S Fairmount St
Davenport, IA 52802-3644

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235637869

Mica Rae Frandsen's National Provider Identifier is 1235637869, issued on Jan 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Davenport, IA. The record was last updated on Jan 29, 2018.