Individual provider · Type 1 NPI

Scott P. Granger, CSAC

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1861919805 Active

Practice location

3150 Gershwin Dr
Green Bay, WI 54311-4328

Call (920) 391-4700 Map

Fax (920) 391-4731

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15260-135 (WI)

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

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About NPI 1861919805

Scott P. Granger, CSAC's National Provider Identifier is 1861919805, issued on Aug 29, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Jul 21, 2022.