Provider Information for 1205366481
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Mr. SHAJI DANIEL LPC
Sex: Male
NPI: 1205366481
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
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NPI | 1205366481 | ||||||||
Enumeration Date | 2017-06-19 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 9203 SUNSHADOW CT PEARLAND, TX 77584-3256 United States Phone: 281-997-8818 | Fax: | ||||||||
Primary Practice Address | 2549 ROY RD PEARLAND, TX 77581-8604 United States Phone: 281-485-9280 | Fax: | ||||||||
Secondary Practice Address(es) | 9203 SUNSHADOW CT | ||||||||
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