Healthcare Provider Details

I. General information

NPI: 1265588206
Provider Name (Legal Business Name): DANIEL L DAGLE LPCC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIEL LAWRENCE DAGLE LPCC

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 03/04/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 DEL REY BOULEVARD UHS MESILLA VALLEY HOSPITAL
LAS CRUCES NM
88012
US

IV. Provider business mailing address

3751 DEL REY BOULEVARD UHS MESILLA VALLEY HOSPITAL
LAS CRUCES NM
88012
US

V. Phone/Fax

Practice location:
  • Phone: 575-382-3500
  • Fax:
Mailing address:
  • Phone: 575-382-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0191581
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: