Individual
MR. DAN J BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, SAC
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14817-131
WI
106H00000X
Marriage & Family Therapist
Primary
670-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40954900
—
WI
Enumeration date
12/31/2006
Last updated
03/14/2024
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