| Doctor Name: | MR. GREGG SHERWOOD ENGFER |
| NPI Number: | 1477679223 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW,LCSW,LMFT,CADC |
| License Number: | 11187 |
| Business Practice Address: | 171 Chestnut St Phillips, WI - 545551313 |
| Business Phone Number: | 7153393048 |
| Business Fax Number: | 7153392436 |
| Mailing Address: | Po Box 71, PHILLIPS |
| State: | WI |
| Postal Code: | 545550071 |
| Phone Number: | 7153393048 |
| Fax Number: | 7153392436 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 11187 |
| 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: | |