DANIEL BARAN

KENOSHA, WI
NPI1861504805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  928)
Enumeration Date2006-08-31
Last Update Date2008-06-30
Business Address
-- DANIEL BARAN MA
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
-- DANIEL BARAN MA
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004