person
Daniel P Shine, CSAC
Addiction (Substance Use Disorder) Counselor in Wausau, Wisconsin
NPI 1114469095

Daniel P Shine is an Addiction (Substance Use Disorder) Counselor based in Wausau, WI and is specialized in Addiction (Substance Use Disorder). Daniel P Shine practices in Wausau, WI and has the professional credentials of CSAC. The NPI Number for Daniel P Shine is 1114469095 and holds a License No. 16237 (Wisconsin).

The current practice location address for Daniel P Shine is 1100 Lake View Dr, Wausau, WI and can be reached out via phone at 715-848-4600 and via fax at 715-845-5398.

Location: 1100 Lake View Dr, Wausau, WI, 54403-6785
person
Provider Profile Details
NPI Number
1114469095
Provider Name
Daniel P Shine
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
1100 Lake View Dr, Wausau, WI, 54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
Provider Enumeration Date
11/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 Lake View Dr
City
State
Zip
54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
person
Provider Business Mailing Address Details
Address
1100 Lake View Dr
City
State
Zip
54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16237 (Wisconsin)
Definition
Definition to come...
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