Provider Demographics
NPI:1801012521
Name:DANIEL, JENNY (LCMHC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:GELBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:201 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9150
Mailing Address - Country:US
Mailing Address - Phone:919-356-3156
Mailing Address - Fax:
Practice Address - Street 1:5316 HIGHGATE DR STE 221
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6629
Practice Address - Country:US
Practice Address - Phone:919-576-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011328-1363A00000X
NCA19240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant