MEDICARE: DANIELLE HOUSER

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
1	101YM0800X	Mental Health Counselor	2792	MN

General Provider Information

NPI Number	:	1396490207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE HOUSER

Provider Business Mailing Address
First Line	:	878 PALACE AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-3307
Country	:	US
Telephone Number	:	952-201-7834
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 CLEVELAND AVE S STE B3
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1200
Country	:	US
Telephone Number	:	952-201-7834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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Directions to “ DANIELLE HOUSER ” Practice Location

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