Individual
DESILYNN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, ICS, CSAC
Contact information
Practice address
7600 W CAPITOL DR, MILWAUKEE, WI 53222-2055
(414) 905-3100
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026581
—
WI
Enumeration date
09/20/2012
Last updated
03/05/2026
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