Individual
JONATHAN W FRISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT, BA
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-1166
Mailing address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20318-130
WI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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