Provider Demographics
NPI:1457678203
Name:O'BRIEN, DANIELLE LEA (MS, CRC)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:LEA
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:LEA
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC
Mailing Address - Street 1:221 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-1813
Mailing Address - Country:US
Mailing Address - Phone:641-856-6471
Mailing Address - Fax:641-856-2779
Practice Address - Street 1:221 E STATE ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-1813
Practice Address - Country:US
Practice Address - Phone:641-856-6471
Practice Address - Fax:641-856-2779
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health