Individual
SIERA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC-IT, MS
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(608) 712-1983
Mailing address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8460226
WI
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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