Individual
GARY D DAEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
926 SOUTH 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908
Mailing address
PO BOX 1177, 926 SOUTH 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1865132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1865132
WI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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