Provider Demographics
NPI:1679641922
Name:CHAPIN, DANIEL BROOKS (DD, CISM, BCATSM,)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BROOKS
Last Name:CHAPIN
Suffix:
Gender:M
Credentials:DD, CISM, BCATSM,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-7000
Mailing Address - Country:US
Mailing Address - Phone:714-656-8659
Mailing Address - Fax:714-638-8343
Practice Address - Street 1:822 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4712
Practice Address - Country:US
Practice Address - Phone:714-547-7559
Practice Address - Fax:714-543-4431
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health