Doctor Name: | MR. DANIEL JULES ESTOPINAL |
NPI Number: | 1861712283 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 9500 |
Business Practice Address: | 210 Rainbow Fls Grovetown, GA - 308135872 |
Business Phone Number: | 7629940260 |
Business Fax Number: | |
Mailing Address: | 210 Rainbow Fls, GROVETOWN |
State: | GA |
Postal Code: | 308135872 |
Phone Number: | 7629940260 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2010 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 9500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |