Individual ProviderDaniel David DoanCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 531-8741(765) 720-0828PECOS EnrollmentBased on the most recent information from CMS, provider Daniel David Doan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1972827467Provider TypeIndividualFull NameDoan, Daniel DavidCredentialLMHCGenderMaleSole ProprietorYesEnumeration Date3/26/2010Last Updated3/26/2010Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 531-8741FaxUnlisted FaxMailing LocationMailing Address907 Vale Park Rd, Apt 3h, Valparaiso, IN 46383-2652Phone(765) 720-0828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39002122AIndiana