Provider Demographics
NPI:1114188653
Name:ANSELMI, DANIEL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:ANSELMI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:ANSELMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 1653
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-1653
Mailing Address - Country:US
Mailing Address - Phone:714-988-2454
Mailing Address - Fax:
Practice Address - Street 1:7755 CENTER AVE STE 1100
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3091
Practice Address - Country:US
Practice Address - Phone:714-988-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA101208106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health