Provider Demographics
NPI:1790916070
Name:DANIELS, JOHN DAVIS II (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVIS
Last Name:DANIELS
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 NE 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:OK
Mailing Address - Zip Code:73084-2576
Mailing Address - Country:US
Mailing Address - Phone:405-204-2200
Mailing Address - Fax:
Practice Address - Street 1:8800 NE 45TH ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:OK
Practice Address - Zip Code:73084-2576
Practice Address - Country:US
Practice Address - Phone:405-204-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health