Provider Demographics
NPI:1568046498
Name:OLACIREGUI, DANIEL (MS, LMHC, LCMHC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:OLACIREGUI
Suffix:
Gender:
Credentials:MS, LMHC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11845 RETAIL DR # 1089
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7352
Mailing Address - Country:US
Mailing Address - Phone:754-212-7570
Mailing Address - Fax:
Practice Address - Street 1:58 LONGBOW DR
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NC
Practice Address - Zip Code:27557-9475
Practice Address - Country:US
Practice Address - Phone:754-212-7570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16837101YM0800X
FLMH172120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health