| Doctor Name: | MR. DANIEL M CARLOCK |
| NPI Number: | 1013024942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6801063358 |
| Business Practice Address: | 800 Stephenson Hwy Suite 250 Troy, MI - 480831123 |
| Business Phone Number: | 2485853239 |
| Business Fax Number: | 2486169759 |
| Mailing Address: | 1089 Maple Heights Dr, WHITE LAKE |
| State: | MI |
| Postal Code: | 483861814 |
| Phone Number: | 5867707866 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6801063358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |