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NPI Code Detail

MEDICARE: DANIELLE ALICE WOOLSTENCROFT LMFT

MEDICARE: DANIELLE ALICE WOOLSTENCROFT LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist150516CA

General Provider Information

NPI Number : 1124148325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ALICE WOOLSTENCROFT LMFT
Provider Business Mailing Address
First Line : 4633 OLD IRONSIDES DR STE 304
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-1846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4633 OLD IRONSIDES DR STE 304
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-1846
Country : US
Telephone Number : 323-205-7088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 10/13/2025

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Directions to “ DANIELLE ALICE WOOLSTENCROFT LMFT” Practice Location

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