Individual
DANIEL L CASIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
108 N BEHREND AVE, SUITE G, FARMINGTON, NM 87401-8448
(505) 326-2736
Mailing address
PO BOX 306, BAYFIELD, CO 81122-0306
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0614
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
STATE OF NEW MEXICO R&L
NM
Enumeration date
08/22/2007
Last updated
08/22/2007
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