Provider Demographics
NPI:1407972342
Name:MCDANIEL, DONALD N (LPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:N
Last Name:MCDANIEL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2149 HUNTER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6705
Mailing Address - Country:US
Mailing Address - Phone:843-556-3490
Mailing Address - Fax:843-769-0270
Practice Address - Street 1:2149 HUNTER CREEK DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6705
Practice Address - Country:US
Practice Address - Phone:843-556-3490
Practice Address - Fax:843-769-0270
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health