Provider Demographics
NPI:1992712707
Name:KIRKLAND, DANIEL JAMES (LPC-S, RPT-S)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAMES
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:LPC-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 MELROSE DR
Mailing Address - Street 2:130
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4405
Mailing Address - Country:US
Mailing Address - Phone:972-231-2555
Mailing Address - Fax:972-231-2293
Practice Address - Street 1:331 MELROSE DR
Practice Address - Street 2:130
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4405
Practice Address - Country:US
Practice Address - Phone:972-231-2555
Practice Address - Fax:972-231-2293
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11854101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional