Provider Demographics
NPI:1477812790
Name:DANLY, JORDAN DELIGHT (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:DELIGHT
Last Name:DANLY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 MARINE VIEW AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3926
Mailing Address - Country:US
Mailing Address - Phone:619-247-8260
Mailing Address - Fax:
Practice Address - Street 1:445 MARINE VIEW AVE STE 300
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3926
Practice Address - Country:US
Practice Address - Phone:619-247-8260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2019-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77436106H00000X
CA91242106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist