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Individual

CASSONDRA FRISQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, CSAC

Contact information

Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5630
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16562
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
18706
WI
101YM0800X
Mental Health Counselor
Primary
8635
WI
101YP2500X
Professional Counselor
8635
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649898636
WI
01
16562-131
STATE LICENSE
WI
01
8635-125
STATE LICENSE
WI
Enumeration date
07/07/2020
Last updated
08/28/2025
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