Danielle Elizabeth Anderson
Peer Specialist in Indio, CA. Individual provider (NPI-1).
NPI number1467196972
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1467196972
- Entity type
- Individual (NPI-1)
- Name
- Danielle Elizabeth Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2022
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CAFPET072117-1 | CO | Yes |
Other names
- Danielle Elizabeth Menold (Former Name)
Practice location
47915 Oasis StIndio, CA 92201-6950
Phone 760-863-8632 · Fax 760-863-8631
Mailing address
57475 Lupine Dr Apt 6Yucca Valley, CA 92284-3880
Phone 760-282-1184
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