National Provider Identifier

Daniel J Declerck, LMHC

Daniel J Declerck, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Shortsville, NY and a listed phone number of (315) 521-4033.

NPI 1487024006Shortsville, NYMental Health Counselor

Profile Overview

NPI
1487024006
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 26, 2015
Last Updated
March 07, 2016

Practice Location

  • 443 Curran RD
  • Shortsville, NY 14548-9333

Phone: (315) 521-4033

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1487024006
Entity Type
Individual
Last Name
Declerck
First Name
Daniel
Middle Name
J
Credential
LMHC
Mailing Street Address
443 Curran RD
Mailing City
Shortsville
Mailing State
NY
Mailing ZIP Code
14548-9333
Mailing Country
US
Mailing Phone
(315) 521-4033
Practice Street Address
443 Curran RD
Practice City
Shortsville
Practice State
NY
Practice ZIP Code
14548-9333
Practice Country
US
Practice Phone
(315) 521-4033
Enumeration Date
September 26, 2015
Last Updated
March 07, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)