Individual provider · Type 1 NPI
Daniel P. Shine, CSAC
Addiction (Substance Use Disorder) Counselor · Wausau, WI
NPI number
1114469095
Active
Practice location
1100 Lake View Dr
Wausau, WI 54403-6785
Fax (715) 845-5398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16237 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114469095
Daniel P. Shine, CSAC's National Provider Identifier is 1114469095, issued on Nov 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wausau, WI. The record was last updated on Nov 16, 2017.