Blank, Daniel

Blank, Daniel is an sole proprietor health care provider with primary practice located at 795 Woodlane Rd Suit 301, Westampton NJ 08060-3832. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Blank, Daniel can be contacted via phone (609) 288-3056.

Contact Information

Primary practice address
795 Woodlane Rd Suit 301 Westampton NJ 08060-3832
Phone: (609) 288-3056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37PC00447900 New Jersey

Profile Details

NPI number 1194124289
LBN Legal business name Blank, Daniel
Credentials M.ED, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated May 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194124289 NPPES
New Jersey Other 37PC00447900 BOARD OF MARRAIGE AND FAMILY THERAPY OF NEW JERSERY

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