Provider Demographics
NPI:1356479778
Name:SWITALSKI, DAVID G (LPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:SWITALSKI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:G
Other - Last Name:SWITALSKLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, CADC-D
Mailing Address - Street 1:4383 N 27 ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-4478
Mailing Address - Country:US
Mailing Address - Phone:414-871-8883
Mailing Address - Fax:
Practice Address - Street 1:4383 N 27 ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216
Practice Address - Country:US
Practice Address - Phone:414-871-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15336-131101YA0400X
WI3613125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional