person
Daniel Jacob Self, MA,LMHCA
Mental Health Counselor in New York, New York
NPI 1578335196

Daniel Jacob Self is a Mental Health Counselor based in Oxnard, NY and is specialized in Mental Health. Daniel Jacob Self practices in New York, NY and has the professional credentials of MA,LMHCA. The NPI Number for Daniel Jacob Self is 1578335196 and holds a License No. MC61409994 (New York).

The current practice location address for Daniel Jacob Self is 30 Dongan Pl Apt 6G, New York, NY and can be reached out via phone at 929-256-2140.

Location: 30 Dongan Pl Apt 6G, New York, NY, 93036-5308
person
Provider Profile Details
NPI Number
1578335196
Provider Name
Daniel Jacob Self
Credential
MA,LMHCA
Provider Entity Type
Individual
Gender
Male
Address
30 Dongan Pl Apt 6G, New York, NY, 93036-5308
Phone Number
929-256-2140
Fax Number
Provider Enumeration Date
10/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Dongan Pl Apt 6G
City
State
Zip
10040-1556
Phone Number
929-256-2140
Fax Number
person
Provider Business Mailing Address Details
Address
30 Dongan Pl Apt 6G
City
State
Zip
10040-1556
Phone Number
929-256-2140
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC61409994 (Washington)
Definition
Definition to come...
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