Provider Demographics
NPI:1316957079
Name:STOBER, DANIEL LEE (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LEE
Last Name:STOBER
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:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-0355
Mailing Address - Country:US
Mailing Address - Phone:512-636-4858
Mailing Address - Fax:512-842-7424
Practice Address - Street 1:821 W 11TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2009
Practice Address - Country:US
Practice Address - Phone:512-636-4858
Practice Address - Fax:512-842-7424
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17433101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional