Provider Demographics
NPI:1336511658
Name:FROSCHL, GEORGE HANS (CADC-II, ICADC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:HANS
Last Name:FROSCHL
Suffix:
Gender:M
Credentials:CADC-II, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5815
Mailing Address - Country:US
Mailing Address - Phone:707-463-7906
Mailing Address - Fax:707-463-7960
Practice Address - Street 1:727 S STATE ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5815
Practice Address - Country:US
Practice Address - Phone:707-463-7906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARA06050315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)