Provider Demographics
NPI:1346085560
Name:PECAR, DANIELLE (EDD, LPCC-S)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:PECAR
Suffix:
Gender:F
Credentials:EDD, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-1720
Mailing Address - Country:US
Mailing Address - Phone:814-964-0656
Mailing Address - Fax:
Practice Address - Street 1:804 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-1720
Practice Address - Country:US
Practice Address - Phone:814-964-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012276101Y00000X
OHE.2203218-SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor