Provider Demographics
NPI:1831679679
Name:RAPHAEL, DANIEL S (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:S
Last Name:RAPHAEL
Suffix:
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 1:2322 FOX MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6671
Mailing Address - Country:US
Mailing Address - Phone:678-460-7065
Mailing Address - Fax:855-743-0085
Practice Address - Street 1:2322 FOX MEADOW DR
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6671
Practice Address - Country:US
Practice Address - Phone:678-460-7065
Practice Address - Fax:855-743-0085
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00598500101YP2500X
PAPC010298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional