Provider Demographics
NPI:1497914584
Name:MCDANIEL, DEBORAH SUZANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:MCDANIEL
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 1:3602 BROADSTONE VILLAGE DR
Mailing Address - Street 2:2C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-3693
Mailing Address - Country:US
Mailing Address - Phone:336-454-7189
Mailing Address - Fax:
Practice Address - Street 1:3602 BROADSTONE VILLAGE DR
Practice Address - Street 2:2C
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-3693
Practice Address - Country:US
Practice Address - Phone:336-454-7189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2716101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor