Individual
DANIELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SAC, LPC-IT
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 316-5004
(414) 671-6606
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 316-5004
(414) 671-6606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16108-131
WI
101YP2500X
Professional Counselor
2900-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058832
—
WI
Enumeration date
09/09/2014
Last updated
03/07/2017
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