Provider Demographics
NPI:1215336045
Name:PILLING, DANIEL (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:PILLING
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3288 DELSEA DR STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-3165
Mailing Address - Country:US
Mailing Address - Phone:856-671-2233
Mailing Address - Fax:
Practice Address - Street 1:3288 DELSEA DR STE A
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322
Practice Address - Country:US
Practice Address - Phone:856-671-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007729101YP2500X
NJ37PC00527000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional