Healthcare Provider Details

I. General information

NPI: 1861329377
Provider Name (Legal Business Name): DANIELLE THULIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 STATE ST
SANTA BARBARA CA
93101-3301
US

IV. Provider business mailing address

1287 MEINERS RD
OJAI CA
93023-1601
US

V. Phone/Fax

Practice location:
  • Phone: 805-620-7096
  • Fax:
Mailing address:
  • Phone: 805-506-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC19895
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT55356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: