Provider Demographics
NPI:1568682334
Name:HARRIGAN, DANIEL P (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:P
Last Name:HARRIGAN
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 1:201 W BROADWAY ST
Mailing Address - Street 2:STE.A
Mailing Address - City:JEFFERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75657-1649
Mailing Address - Country:US
Mailing Address - Phone:903-665-7588
Mailing Address - Fax:903-665-7587
Practice Address - Street 1:201 W BROADWAY ST
Practice Address - Street 2:STE.A
Practice Address - City:JEFFERSON
Practice Address - State:TX
Practice Address - Zip Code:75657-1649
Practice Address - Country:US
Practice Address - Phone:903-665-7588
Practice Address - Fax:903-665-7587
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19575101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional