DANIELLE DUFRESNE (NPI# 1871901058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871901058 |
| Entity Type | Individual |
| Full Name | DANIELLE DUFRESNE |
| Credential | CSAC |
| Practice Address |
3150 Gershwin Drive Green Bay WI 54311-4328 |
| Practice Telephone | 9203914700 |
| Practice Fax Number | 9203914870 |
| Mailing Telephone | 9203914740 |
| Mailing Fax Number | 9203914870 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
WI | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16567-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245978 | Danielle Dufresne | Psychologist | 18 N Main St, 3rd Floor, West Hartford, CT 06107-1970 | 2015-05-19 |
| 1679869713 | Danielle Annette Dufresne | Family Medicine | 300 Tuskegee Blvd, Dover Afb, DE 19902 | 2011-06-28 |
| Street Address |
3150 GERSHWIN DRIVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801908975 | County of Brown | Psychiatric Hospital | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-08-31 |
| 1205167426 | Mary Miceli-wink | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2010-01-28 |
| 1679707384 | Bethany A Robinson | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2009-05-08 |
| 1679747059 | County of Brown | Psychiatry & Neurology | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1386818664 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
| 1467626994 | Amy C Ricker | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
| 1497929921 | Heather A Grasse | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
| 1427221381 | Randall W Keigley | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-10 |
| 1790958973 | Kevin P Lunog | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-08 |
| 1598934440 | Michael W Wilbert | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1821522889 | Wayne Borowitz | Counselor | 621 E Walnut St, Green Bay, WI 54301-4001 | 2017-04-17 |
| 1427421023 | Katie Koebernik | Counselor | 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 | 2015-11-04 |
| 1386041598 | Andrea Bonnin | Counselor | 2979 Allied St Ste C, Green Bay, WI 54304-5567 | 2014-12-03 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| 1790016467 | Deborah J Hauser | Counselor | 3150 Gershwin, Green Bay, WI 54311-5859 | 2010-01-20 |
| 1336372259 | Edwin A Chrisman | Counselor | 331 S Adams St, Green Bay, WI 54301-4515 | 2009-08-26 |
| 1457585614 | Adam Miles Sturdevant | Counselor | 1049 Dousman St, Green Bay, WI 54303-3003 | 2009-05-04 |
| 1659538361 | Regina E Cuellar-proctor | Counselor | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | 2008-05-20 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.