Doctor Name: | MRS. DORCAS LORRAINE DANIELSON |
NPI Number: | 1902044134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 61642 |
Business Practice Address: | 34186 Henderson Rd Los Fresnos, TX - 785664437 |
Business Phone Number: | 9562335383 |
Business Fax Number: | |
Mailing Address: | 34186 Henderson Rd, LOS FRESNOS |
State: | TX |
Postal Code: | 785664437 |
Phone Number: | 9562335383 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 01/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 61642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |