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NPI Code Detail

MEDICARE: DANIEL JOSEPH HILLEY LMHC, LPC

MEDICARE: DANIEL JOSEPH HILLEY LMHC, LPC
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 Counselor39002104IN
2101YM0800XMental Health CounselorLH61537580WA
3101YM0800XMental Health Counselor4410-125WI

General Provider Information

NPI Number : 1962736702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JOSEPH HILLEY LMHC, LPC
Provider Business Mailing Address
First Line : 327 NE 5TH AVE STE B
Second Line :
City : CAMAS
State : WA
Zip : 98607-2030
Country : US
Telephone Number : 503-217-4317
Fax Number :
Provider Business Practice Location Address
First Line : 327 NE 5TH AVE STE B
Second Line :
City : CAMAS
State : WA
Zip : 98607-2030
Country : US
Telephone Number : 503-217-4317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2009
Last Update Date : 03/31/2025

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