Provider Demographics
NPI:1285987768
Name:DAUGHTRIDGE, DANIEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:DAUGHTRIDGE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 MANSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-1211
Mailing Address - Country:US
Mailing Address - Phone:252-883-6202
Mailing Address - Fax:252-937-7981
Practice Address - Street 1:876 COUNTRY CLUB DRIVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1707
Practice Address - Country:US
Practice Address - Phone:252-883-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-20
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLMFT-1524106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist