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NPI Code Detail

MEDICARE: VERONICA EILEEN DANIEL LCSW

MEDICARE:   VERONICA EILEEN DANIEL  LCSW
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
1101YM0800XMental Health Counselor102947CA
2101YM0800XMental Health CounselorASW84276CA
3106S00000XBehavior Technician
4390200000XStudent in an Organized Health Care Education/Training Program
51041C0700XClinical Social Worker102947CA

General Provider Information

NPI Number : 1629513460
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA EILEEN DANIEL LCSW
Provider Business Mailing Address
First Line : 14212 VOLTERRA WAY
Second Line :
City : BEAUMONT
State : CA
Zip : 92223-6314
Country : US
Telephone Number : 714-728-6070
Fax Number :
Provider Business Practice Location Address
First Line : 6296 MAGNOLIA AVE # 1186
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-2526
Country : US
Telephone Number : 714-728-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2017
Last Update Date : 08/26/2023

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