Provider Demographics
NPI:1477630382
Name:DANKER, CLAUDIA L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:L
Last Name:DANKER
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:PO BOX 1084
Mailing Address - Street 2:315 W. APACHE
Mailing Address - City:WICKENBURG
Mailing Address - State:AZ
Mailing Address - Zip Code:85358-1084
Mailing Address - Country:US
Mailing Address - Phone:928-684-0800
Mailing Address - Fax:928-684-9661
Practice Address - Street 1:315 W APACHE ST
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390-1213
Practice Address - Country:US
Practice Address - Phone:928-684-0800
Practice Address - Fax:928-684-9661
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6761001Medicaid
AZAZ0615530OtherBC/BS OF ARIZONA