Provider Demographics
NPI:1174689251
Name:DANIEL, MARY HAND (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:HAND
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:222 MERIWETHER ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-3011
Mailing Address - Country:US
Mailing Address - Phone:770-233-4811
Mailing Address - Fax:770-229-5026
Practice Address - Street 1:222 MERIWETHER ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-3011
Practice Address - Country:US
Practice Address - Phone:770-233-4811
Practice Address - Fax:770-229-5026
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001267101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional