Provider Demographics
NPI:1407377492
Name:DAILY, DEBORAH LEE (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:DAILY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 BRAMBLEWOOD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1878
Mailing Address - Country:US
Mailing Address - Phone:817-271-2470
Mailing Address - Fax:
Practice Address - Street 1:8150 LOCKHILL SELMA
Practice Address - Street 2:STE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2668
Practice Address - Country:US
Practice Address - Phone:817-271-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX73504OtherLICENSED PROFESSIONAL COUNSELOR