Provider Demographics
NPI:1275994899
Name:RUMBLE, DANAH (LPC)
Entity Type:Individual
Prefix:
First Name:DANAH
Middle Name:
Last Name:RUMBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SPRINGBROOK TRL
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2209
Mailing Address - Country:US
Mailing Address - Phone:862-432-5306
Mailing Address - Fax:
Practice Address - Street 1:200 WOODPORT RD STE B
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2628
Practice Address - Country:US
Practice Address - Phone:973-726-3772
Practice Address - Fax:973-726-3775
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00543600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional