Provider Demographics
NPI:1164008892
Name:DRAYTON, DANELLE ANGELICA
Entity Type:Individual
Prefix:MS
First Name:DANELLE
Middle Name:ANGELICA
Last Name:DRAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 E HANFORD ARMONA RD APT 60
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2378
Mailing Address - Country:US
Mailing Address - Phone:515-494-9905
Mailing Address - Fax:
Practice Address - Street 1:1300 E SHAW AVE
Practice Address - Street 2:SUITE 172
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7911
Practice Address - Country:US
Practice Address - Phone:559-554-9710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical