Provider Demographics
NPI:1356089916
Name:HUNTER-RUE, DANIESHA
Entity Type:Individual
Prefix:MRS
First Name:DANIESHA
Middle Name:
Last Name:HUNTER-RUE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DANIESHA
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 RANKIN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15104-1138
Mailing Address - Country:US
Mailing Address - Phone:717-602-9689
Mailing Address - Fax:
Practice Address - Street 1:201 RANKIN BLVD
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-1138
Practice Address - Country:US
Practice Address - Phone:717-602-9689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional