Provider Demographics
NPI:1902104672
Name:LANGFORD, DANIELLE (CADC-II-CA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:CADC-II-CA
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:ANNE
Other - Last Name:MASHBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAADE
Mailing Address - Street 1:12231 CHAPMAN AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-3724
Mailing Address - Country:US
Mailing Address - Phone:714-595-8373
Mailing Address - Fax:
Practice Address - Street 1:771 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2806
Practice Address - Country:US
Practice Address - Phone:714-879-0929
Practice Address - Fax:714-578-2960
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII051040218101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050012I-21OtherCATC