| Doctor Name: | MRS. DANIELLE NICHOLE KISLER |
| NPI Number: | 1033540414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-5160 |
| Business Practice Address: | 7905 N Meadowlark Way Ste A And B Coeur D Alene, ID - 838155041 |
| Business Phone Number: | 2086912048 |
| Business Fax Number: | |
| Mailing Address: | 7905 N Meadowlark Way, Ste A And B COEUR D ALENE |
| State: | ID |
| Postal Code: | 838155041 |
| Phone Number: | 2086912048 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-5160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |