MICHAEL SHERMAN FENTRESS
NPI 1225498983
Counselor - Professional in Green Bay, WI
Active since February 24, 2016
About Michael Sherman Fentress NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SHERMAN FENTRESS (NPI 1225498983) is an individual professional provider in Green Bay, Wisconsin and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1225498983
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL SHERMAN FENTRESS
Location Address2711 HUMBOLDT RD APT 2Green Bay, WI 54311-8463
Mailing Address2711 Humboldt Rd Apt 2Green Bay, WI 54311-8463 · (352) 702-2144
Phone(352) 702-2144
Sole ProprietorYes
Enumeration DateFebruary 24, 2016
Last NPPES UpdateMarch 27, 20172 updates tracked since enumeration
✔ NPI 1225498983 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2711 HUMBOLDT RD APT 2, Green Bay, WI 54311
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225498983, enumerated as an "individual" on February 24, 2016.
The provider is located at 2711 HUMBOLDT RD APT 2 GREEN BAY, WI 54311 and the phone number is (352) 702-2144.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
