| Doctor Name: | DANIEL BOYLAN |
| NPI Number: | 1235588872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | LPC008488 |
| Business Practice Address: | 800 Old Dawson Village Rd E Ste 010 Dawsonville, GA - 305343816 |
| Business Phone Number: | 7062652244 |
| Business Fax Number: | |
| Mailing Address: | Po Box 121733, WEST MELBOURNE |
| State: | FL |
| Postal Code: | 329121733 |
| Phone Number: | 7062652244 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2016 |
| NPI Last Update Date: | 06/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC008488 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |