Individual
MR. DANIEL R BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, LPC, CADC
Contact information
Practice address
300 COTTONWOOD AVE STE 4, HARTLAND, WI 53029-2043
(414) 587-2473
(262) 781-6603
Mailing address
118 WOODLAND LN, OCONOMOWOC, WI 53066-2731
(262) 567-0955
(262) 781-6603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2423-125
WI
101YM0800X
Mental Health Counselor
2423-125
WI
101YP2500X
Professional Counselor
Primary
2423-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42211900
—
WI
Enumeration date
01/05/2007
Last updated
09/11/2025
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