Provider Demographics
NPI:1639189483
Name:DANIEL, ANNE MARIE CORRENE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:CORRENE
Last Name:DANIEL
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 1:3707 BARTONS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1926
Mailing Address - Country:US
Mailing Address - Phone:713-502-7298
Mailing Address - Fax:713-773-2464
Practice Address - Street 1:10101 SOUTHWEST FWY
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1126
Practice Address - Country:US
Practice Address - Phone:713-502-7298
Practice Address - Fax:713-773-2464
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18092101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1578643Medicaid