Individual
ENETREA DANIELLE NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
1610 MILLER PARK WAY # 1610, WEST MILWAUKEE, WI 53214-3604
(414) 306-7120
Mailing address
7144 N 44TH ST, MILWAUKEE, WI 53223-5308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20408-130
WI
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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