Doctor Name: | DR. GENNEA ADELLE DANKS |
NPI Number: | 1013296789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3571 |
Business Practice Address: | 910 West Havens Mitchell, SD - 573013894 |
Business Phone Number: | 6059969686 |
Business Fax Number: | 6059961624 |
Mailing Address: | 910 West Havens, MITCHELL |
State: | SD |
Postal Code: | 573013894 |
Phone Number: | 6059969686 |
Fax Number: | 6059961624 |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 3571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |