Individual
MR. DANIEL W LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 W RIVER DRIVE, WEST BEND, WI 53090
(262) 338-2717
(262) 338-9767
Mailing address
400 W RIVER DRIVE, WEST BEND, WI 53090
(262) 338-2717
(262) 338-9767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2004
WI
104100000X
Social Worker
Primary
11912
WI
104100000X
Social Worker
3229-123
WI
Other
Enumeration date
10/20/2006
Last updated
09/11/2025
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