Provider Demographics
NPI:1518739531
Name:KOMAR, DANIEL I (LPCMH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:I
Last Name:KOMAR
Suffix:
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CREEK VIEW RD # 100
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8546
Mailing Address - Country:US
Mailing Address - Phone:302-307-3702
Mailing Address - Fax:302-355-3400
Practice Address - Street 1:300 CREEK VIEW RD # 100
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8546
Practice Address - Country:US
Practice Address - Phone:302-307-3702
Practice Address - Fax:302-355-3400
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health