Provider Demographics
NPI:1578775532
Name:PAREDES, DANIEL MARIANO (LPCS, NCC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:MARIANO
Last Name:PAREDES
Suffix:
Gender:M
Credentials:LPCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OLD ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1394
Mailing Address - Country:US
Mailing Address - Phone:336-253-5318
Mailing Address - Fax:
Practice Address - Street 1:1702 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1711
Practice Address - Country:US
Practice Address - Phone:336-253-5318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health