Doctor Name: | DANIELLE CARR |
NPI Number: | 1265797013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, NCC |
License Number: | |
Business Practice Address: | 28 Bernard Street Saranac Lake, NY - 12983 |
Business Phone Number: | 5184206023 |
Business Fax Number: | |
Mailing Address: | 165 Neil St, SARANAC LAKE |
State: | NY |
Postal Code: | 129831565 |
Phone Number: | 5184206023 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2012 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |