Provider Demographics
NPI:1609939446
Name:TOVAR, DANIEL R (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:TOVAR
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4219
Mailing Address - Country:US
Mailing Address - Phone:915-920-7205
Mailing Address - Fax:915-351-6601
Practice Address - Street 1:1520 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4219
Practice Address - Country:US
Practice Address - Phone:915-920-7205
Practice Address - Fax:915-351-6601
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional