Andree Davis
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Brown Deer, WI
NPI 1780980342 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1780980342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 5600 W Brown Deer Rd
Suite 110
Brown Deer, WI 53223 - Phone
- (414) 810-6691
- Fax
- (866) 719-3024
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
5600 W Brown Deer Rd
Suite 110
Brown Deer, WI 53223
Mailing address
5600 W Brown Deer Rd
Suite 110
Brown Deer, WI 53223
Other providers in Brown Deer, WI
- Garrett F Curler
- Katherine Czelatdko
- Beverly A Daley
- Kristina Marie Daul
- William Hobart Davies
- Marisha S Davis
- Shenisha Davis
- Eileen Marie Dean
- Deerwood Manor
- Colleen K Del Fava
All providers in Brown Deer, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.