Individual
DR. DANIEL JOHN PELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(318) 245-5791
Mailing address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 287-2273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5511
CO
101YP2500X
Professional Counselor
Primary
CCMH0183181
NM
101YP2500X
Professional Counselor
P15112129
AR
106H00000X
Marriage & Family Therapist
CMF0187581
NM
Other
Enumeration date
07/20/2007
Last updated
11/15/2021
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