Provider Demographics
NPI:1437514460
Name:CORTESE, DANIEL PHILIP (LCMHCA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PHILIP
Last Name:CORTESE
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E CHESTNUT ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2582
Mailing Address - Country:US
Mailing Address - Phone:828-552-3771
Mailing Address - Fax:
Practice Address - Street 1:225 E CHESTNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2582
Practice Address - Country:US
Practice Address - Phone:828-552-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12046101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health