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Organization

3:30 COUNSELING & PSYCHOLOGICAL SERVICES PLLC

Active
Other names
3:30 Counseling & Psychological Services PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA MARIE DANIEL PHD, LPC, LSSP (LPC, LSSP, OWNER)
(903) 268-9958
Entity
Organization

Contact information

Practice address
3831 BLACKJACK RD, JEFFERSON, TX 75657-8296
(903) 268-9958
Mailing address
3831 BLACKJACK RD, JEFFERSON, TX 75657-8296
(903) 268-9958

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TS0200X
School Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
05/07/2025
Last updated
07/25/2025
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