Provider Demographics
NPI:1003055542
Name:MCCUNE, DANIEL DARROW (BA, CCM, CBIS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:DARROW
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:BA, CCM, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 JOLLY RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3680
Mailing Address - Country:US
Mailing Address - Phone:517-599-8244
Mailing Address - Fax:517-913-6141
Practice Address - Street 1:2525 JOLLY RD
Practice Address - Street 2:SUITE 260
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3680
Practice Address - Country:US
Practice Address - Phone:517-599-8244
Practice Address - Fax:517-913-6141
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator