Individual
GUY W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
8719 W DAPHNE ST, MILWAUKEE, WI 53224-5340
(414) 751-7618
(414) 247-0816
Mailing address
8719 W DAPHNE ST, MILWAUKEE, WI 53224-5340
(414) 751-7618
(414) 247-0816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15456-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15456-132
LICENSE
WI
Enumeration date
09/23/2013
Last updated
09/23/2013
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