Braaten, Dan J

Braaten, Dan J is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Braaten, Dan J can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115-8399
Phone: (920) 496-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14817-131 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 670-124 Wisconsin

Profile Details

NPI number 1053477158
LBN Legal business name Braaten, Dan J
Credentials LMFT, SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053477158 NPPES
Wisconsin MEDICAID 40954900

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