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

Mr. Scott P Granger, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861919805

Mr. Scott P Granger, CSAC is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone: (920) 391-4700
Fax: (920) 391-4731
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 15260-135 (WI)

Record details

NPI number1861919805
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESJuly 21, 2022

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