Healthcare Provider Details

I. General information

NPI: 1588420467
Provider Name (Legal Business Name): D AND D COUNSELING LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 12/08/2024
Certification Date: 12/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41810 VALHALLA TOWHNHOUSE RD UNIT 11
CABLE WI
54821-5401
US

IV. Provider business mailing address

PO BOX 212
CABLE WI
54821-0212
US

V. Phone/Fax

Practice location:
  • Phone: 630-333-3202
  • Fax:
Mailing address:
  • Phone: 630-333-3202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DAVID MCFADDEN
Title or Position: OWNER OF PRACTICE
Credential: LPC
Phone: 630-333-3202