| Doctor Name: | DANIEL E HERMSEN |
| NPI Number: | 1013078518 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 11162 |
| Business Practice Address: | W231 N1440 Corporate Court Suite 310 Waukesha, WI - 531861301 |
| Business Phone Number: | 2828966186 |
| Business Fax Number: | 2628966139 |
| Mailing Address: | W231 N1440 Corporate Court, Suite 310 WAUKESHA |
| State: | WI |
| Postal Code: | 531861303 |
| Phone Number: | 2628966186 |
| Fax Number: | 2628966139 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 11162 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |