Provider Demographics
NPI:1639239353
Name:DANIEL, LAURIE N (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:N
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 1:65 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2005
Mailing Address - Country:US
Mailing Address - Phone:201-934-0050
Mailing Address - Fax:201-934-8170
Practice Address - Street 1:65 N FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2005
Practice Address - Country:US
Practice Address - Phone:201-934-0050
Practice Address - Fax:201-934-8170
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00165600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional