Provider Demographics
NPI:1700236809
Name:MROTEK, DANIEL J (MA, LPCC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:MROTEK
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 E 38TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-5218
Mailing Address - Country:US
Mailing Address - Phone:612-208-2831
Mailing Address - Fax:888-778-2961
Practice Address - Street 1:730 E 38TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-5218
Practice Address - Country:US
Practice Address - Phone:612-208-2831
Practice Address - Fax:888-778-2961
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional