Individual
DANIALLE MARIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
1849 N DR MARTIN LUTHER KING JR DR STE 101, MILWAUKEE, WI 53212-3639
(414) 347-1774
(414) 347-0148
Mailing address
1849 N DR MARTIN LUTHER KING JR DR STE 101, MILWAUKEE, WI 53212-3639
(414) 347-1774
(414) 347-0148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18724-130
WI
101YP2500X
Professional Counselor
Primary
4114-226
WI
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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