Provider Demographics
NPI:1043565658
Name:ROTTNER, DANELLE (MAC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:DANELLE
Middle Name:
Last Name:ROTTNER
Suffix:
Gender:F
Credentials:MAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 S TERRY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6633
Mailing Address - Country:US
Mailing Address - Phone:720-648-1474
Mailing Address - Fax:
Practice Address - Street 1:636 COFFMAN ST STE 203
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4974
Practice Address - Country:US
Practice Address - Phone:720-541-8806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor