Provider Demographics
NPI:1396411815
Name:MAURIO, DANIEL (MA, AMFT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:MAURIO
Suffix:
Gender:M
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 RADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3722
Mailing Address - Country:US
Mailing Address - Phone:917-690-5582
Mailing Address - Fax:
Practice Address - Street 1:23822 VALENCIA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5342
Practice Address - Country:US
Practice Address - Phone:707-266-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty