Provider Demographics
NPI:1386279693
Name:DEAN, JOEL DANIEL (LMFT-A)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:DANIEL
Last Name:DEAN
Suffix:
Gender:M
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 WILLOW WOOD LN APT 106
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-0122
Mailing Address - Country:US
Mailing Address - Phone:803-658-8282
Mailing Address - Fax:
Practice Address - Street 1:845 WILLOW WOOD LN APT 106
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-0122
Practice Address - Country:US
Practice Address - Phone:803-658-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health