Healthcare Provider Details

I. General information

NPI: 1841589975
Provider Name (Legal Business Name): DANIELLE ZIFF LMFT 97630
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 W SHAW AVE STE 116
FRESNO CA
93711-3412
US

IV. Provider business mailing address

2350 W SHAW AVE STE 116
FRESNO CA
93711-3412
US

V. Phone/Fax

Practice location:
  • Phone: 559-573-4194
  • Fax:
Mailing address:
  • Phone: 559-573-4194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number66152
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number97360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: