Provider Demographics
NPI:1750440947
Name:LOE, DANIEL CHARLES (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CHARLES
Last Name:LOE
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5 S GERMAN ST
Mailing Address - Street 2:P.O BOX 424
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3015
Mailing Address - Country:US
Mailing Address - Phone:507-354-1147
Mailing Address - Fax:507-359-2514
Practice Address - Street 1:5 S GERMAN ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3015
Practice Address - Country:US
Practice Address - Phone:507-354-1147
Practice Address - Fax:507-359-2514
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN111H4COOtherBLUE CROSS BLUE SHIELD
62-54427OtherUNITED BEHAVIORAL HEALTH