Individual
DANIELA SANTIAGO ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 432-5966
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11979
STATE LICENSE
WI
Enumeration date
08/31/2023
Last updated
08/12/2025
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