Provider Demographics
NPI:1932651114
Name:KRAUSE, DANIEL ERNEST (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ERNEST
Last Name:KRAUSE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-9421
Mailing Address - Country:US
Mailing Address - Phone:920-338-8699
Mailing Address - Fax:920-232-0434
Practice Address - Street 1:2066 LAWRENCE DR
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-9421
Practice Address - Country:US
Practice Address - Phone:920-338-8699
Practice Address - Fax:920-232-0434
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6122-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor