Provider Demographics
NPI:1225802440
Name:RHYNE, DANIEL B (LMFT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:RHYNE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 STEVENS CREEK BLVD # 335
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-6664
Mailing Address - Country:US
Mailing Address - Phone:408-673-8179
Mailing Address - Fax:
Practice Address - Street 1:3587 MAURICIA AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-6658
Practice Address - Country:US
Practice Address - Phone:408-673-8179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist