Individual
DANIEL MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7915 GATE BRG, SELMA, TX 78154-3882
(631) 805-6341
Mailing address
7915 GATE BRG, SELMA, TX 78154-3882
(631) 805-6341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
83032
TX
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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