Doctor Name: | VICKI MCDANIEL |
NPI Number: | 1922300607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BC |
License Number: | 103473 |
Business Practice Address: | 4 E. Village Mall Cherokee Village, AR - 725290176 |
Business Phone Number: | 8702573336 |
Business Fax Number: | 8702573339 |
Mailing Address: | Po Box 176, CHEROKEE VILLAGE |
State: | AR |
Postal Code: | 725250176 |
Phone Number: | 8702573336 |
Fax Number: | 8702573339 |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 103473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |