Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John Paul Larson, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619520251

Mr. John Paul Larson, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-4172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18138-130 (WI)

Record details

NPI number1619520251
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019

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