Provider Demographics
NPI:1730430869
Name:DANLEY, DANI (CPC1178, LH61165683)
Entity type:Individual
Prefix:DR
First Name:DANI
Middle Name:
Last Name:DANLEY
Suffix:
Gender:F
Credentials:CPC1178, LH61165683
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 HWY 410 #114
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391
Mailing Address - Country:US
Mailing Address - Phone:775-384-7587
Mailing Address - Fax:855-611-8566
Practice Address - Street 1:21301 HWY 410 #114
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391
Practice Address - Country:US
Practice Address - Phone:775-384-7587
Practice Address - Fax:855-611-8566
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV284-C101YA0400X
WALH61165683101YM0800X
NV0116-GS101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor