Healthcare Provider Details

I. General information

NPI: 1093523250
Provider Name (Legal Business Name): DANIEL DEI APCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD # 200
CONCORD CA
94520-5823
US

IV. Provider business mailing address

187 SKELLY
HERCULES CA
94547-9454
US

V. Phone/Fax

Practice location:
  • Phone: 269-210-9030
  • Fax:
Mailing address:
  • Phone: 269-210-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC17277
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC17277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: