Provider Demographics
NPI:1881750206
Name:FRINGER, STEVEN (M DIV)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:FRINGER
Suffix:
Gender:M
Credentials:M DIV
Other - Prefix:MR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:FRINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MDIV
Mailing Address - Street 1:2825 N MAYFAIR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-4406
Mailing Address - Country:US
Mailing Address - Phone:262-821-7277
Mailing Address - Fax:414-453-7080
Practice Address - Street 1:2825 N MAYFAIR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4406
Practice Address - Country:US
Practice Address - Phone:262-821-7277
Practice Address - Fax:414-453-7080
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WILMFT 671-124101YM0800X, 101YP1600X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist