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NPI Code Detail

MEDICARE: DANIEL PHONZIE KAPRELIAN II

MEDICARE: DANIEL PHONZIE KAPRELIAN II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor12180-125WI
2101Y00000XCounselor7264-226WI

General Provider Information

NPI Number : 1285334367
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL PHONZIE KAPRELIAN II
Provider Business Mailing Address
First Line : 6233 39TH AVE
Second Line :
City : KENOSHA
State : WI
Zip : 53142-7015
Country : US
Telephone Number : 262-652-1004
Fax Number :
Provider Business Practice Location Address
First Line : 2108 63RD ST
Second Line :
City : KENOSHA
State : WI
Zip : 53143-4454
Country : US
Telephone Number : 414-475-2788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2023
Last Update Date : 12/08/2025

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Directions to “ DANIEL PHONZIE KAPRELIAN II ” Practice Location

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