Individual
MS. DANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4511 W SPENCER PL, MILWAUKEE, WI 53216-2452
(414) 455-3879
Mailing address
4511 W SPENCER PL, MILWAUKEE, WI 53216-2452
(414) 455-3879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
101YM0800X
Mental Health Counselor
—
WI
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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