| Doctor Name: | MR. DANIEL R BIRD |
| NPI Number: | 1336297613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S, LPC, CADC |
| License Number: | 2423-125 |
| Business Practice Address: | 300 Cottonwood Ave Ste 4 Hartland, WI - 530292043 |
| Business Phone Number: | 4145872473 |
| Business Fax Number: | 2627816603 |
| Mailing Address: | 118 Woodland Ln, OCONOMOWOC |
| State: | WI |
| Postal Code: | 530662731 |
| Phone Number: | 2625670955 |
| Fax Number: | 2627816603 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2423-125 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |