Individual
DANIEL JOSEPH MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC, CS-IT
Contact information
Practice address
108 N LINCOLN AVE, BEAVER DAM, WI 53916-2110
(920) 887-8751
(920) 887-3977
Mailing address
1807 N CENTER ST STE 204, BEAVER DAM, WI 53916-1005
(920) 887-8751
(920) 887-3977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15331-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15412-133
WI
1041C0700X
Clinical Social Worker
Primary
7567-123
WI
Other
Enumeration date
02/28/2011
Last updated
06/26/2025
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