Healthcare Provider Details

I. General information

NPI: 1437066156
Provider Name (Legal Business Name): DANIELLE DOUGLASS APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 K ST
SACRAMENTO CA
95811-4187
US

IV. Provider business mailing address

PO BOX 3138
SARATOGA CA
95070-1138
US

V. Phone/Fax

Practice location:
  • Phone: 916-448-2321
  • Fax:
Mailing address:
  • Phone: 916-319-4928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: