Provider Demographics
NPI:1912625047
Name:MACDONALD, DALIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DALIA
Middle Name:
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 GUILD CT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-6436
Mailing Address - Country:US
Mailing Address - Phone:954-214-0783
Mailing Address - Fax:561-625-4560
Practice Address - Street 1:15850 GUILD CT
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-6436
Practice Address - Country:US
Practice Address - Phone:954-214-0783
Practice Address - Fax:561-625-4560
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health