Provider Demographics
NPI:1992369011
Name:HANNON, DANIEL SEAN (LMFT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:SEAN
Last Name:HANNON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:HANNON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:911 MONTANA MDWS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3822
Mailing Address - Country:US
Mailing Address - Phone:512-699-4762
Mailing Address - Fax:
Practice Address - Street 1:314 N AUSTIN ST STE 111
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5535
Practice Address - Country:US
Practice Address - Phone:830-303-3161
Practice Address - Fax:830-386-0792
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202384106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist