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Individual

DANIELLE RENEE BIRDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3265125
WI
101YP2500X
Professional Counselor
3265125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40913900
WI
Enumeration date
07/15/2006
Last updated
05/27/2022
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