Individual
MRS. DEBORAH LYNN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1133 JEFFERSON GREEN CIR, MIDLOTHIAN, VA 23113-4300
(804) 717-1111
(804) 717-1185
Mailing address
PO BOX 555, MIDLOTHIAN, VA 23113-0555
(804) 717-1111
(804) 717-1185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2044
VA
1041C0700X
Clinical Social Worker
Primary
0904002044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104907104
—
VA
01
—
190000809
MEDICARE
VA
Enumeration date
10/17/2006
Last updated
12/18/2011
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