Doctor Name: | DANIELLE CAULEY |
NPI Number: | 1063881225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CSAC |
License Number: | 0710102862 |
Business Practice Address: | 9228 George Washington Memorial Hwy Gloucester, VA - 230614162 |
Business Phone Number: | 8046958131 |
Business Fax Number: | |
Mailing Address: | 9228 George Washington Memorial Hwy, GLOUCESTER |
State: | VA |
Postal Code: | 230614162 |
Phone Number: | 8046958141 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0710102862 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |