Individual provider · Type 1 NPI
Mark John Frillman, LADC
Addiction (Substance Use Disorder) Counselor · Fremont, NE
NPI number
1710174545
Active
Practice location
445 E 1st St
Fremont, NE 68025-5668
Mailing address
2931 S 112th St
Omaha, NE 68144-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 203 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1710174545
Mark John Frillman, LADC's National Provider Identifier is 1710174545, issued on Sep 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, NE. The record was last updated on Sep 25, 2007.