Individual
DANIEL ERNEST LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
108 W FIRE TOWER RD, SUITE D, WINTERVILLE, NC 28590-8371
(252) 830-3300
(252) 830-3322
Mailing address
108 W FIRE TOWER RD, SUITE D, WINTERVILLE, NC 28590-8371
(919) 966-0211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12446
NC
Other
Enumeration date
08/24/2016
Last updated
04/20/2022
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