MEDICARE: DANIEL E HELVETIUS JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	76131	TX

General Provider Information

NPI Number	:	1215426317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL E HELVETIUS JR.

Provider Business Mailing Address
First Line	:	4105 PAINTBRUSH DR
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4603
Country	:	US
Telephone Number	:	254-258-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 E STAN SCHLUETER LOOP # 7
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4813
Country	:	US
Telephone Number	:	254-535-9598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	08/29/2021

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