Individual
MR. DANIEL M. WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, SAC-IT
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Mailing address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17046-130
WI
106H00000X
Marriage & Family Therapist
Primary
1064-124
WI
Other
Enumeration date
02/05/2014
Last updated
03/28/2016
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