Provider Demographics
NPI:1033654827
Name:HONANIE, DANIELLE FLORENCE (CO60690975)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:FLORENCE
Last Name:HONANIE
Suffix:
Gender:F
Credentials:CO60690975
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 188TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-7633
Mailing Address - Country:US
Mailing Address - Phone:425-329-9484
Mailing Address - Fax:
Practice Address - Street 1:3910 188TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-7633
Practice Address - Country:US
Practice Address - Phone:425-329-9484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO 60690975101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)