Provider Demographics
NPI:1457071359
Name:MELEAR, DANIEL CARL (PHD, LPCC-S, NCC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CARL
Last Name:MELEAR
Suffix:
Gender:M
Credentials:PHD, LPCC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 MOUNTAIN AIR DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-5851
Mailing Address - Country:US
Mailing Address - Phone:270-799-6466
Mailing Address - Fax:
Practice Address - Street 1:139 MOUNTAIN AIR DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-5851
Practice Address - Country:US
Practice Address - Phone:270-799-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168695101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional