Provider Demographics
NPI:1659430791
Name:DECKER, DANIEL H (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:H
Last Name:DECKER
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7534 DIPLOMAT DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2680
Mailing Address - Country:US
Mailing Address - Phone:703-369-2643
Mailing Address - Fax:703-257-7569
Practice Address - Street 1:7534 DIPLOMAT DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2680
Practice Address - Country:US
Practice Address - Phone:703-369-2643
Practice Address - Fax:703-257-7569
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001700101YP2500X
VA0717000681106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist