Provider Demographics
NPI:1265881908
Name:SIMAC, FRANK WILLIAM (MS, LPC, CSAC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:WILLIAM
Last Name:SIMAC
Suffix:
Gender:M
Credentials:MS, LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4845
Mailing Address - Country:US
Mailing Address - Phone:920-447-4545
Mailing Address - Fax:920-351-4971
Practice Address - Street 1:1504 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4845
Practice Address - Country:US
Practice Address - Phone:920-447-4545
Practice Address - Fax:920-351-4971
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6248-125101YP2500X
WI16092-132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)