Provider Demographics
NPI:1497134712
Name:SALLIE DANENBERG, LMFT
Entity Type:Organization
Organization Name:SALLIE DANENBERG, LMFT
Other - Org Name:NEW BEGINNINGS COUNSELING & CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DANENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:408-266-8544
Mailing Address - Street 1:1777 HAMILTON AVE
Mailing Address - Street 2:SUITE 2380
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5430
Mailing Address - Country:US
Mailing Address - Phone:408-600-9722
Mailing Address - Fax:408-266-8545
Practice Address - Street 1:1777 HAMILTON AVE
Practice Address - Street 2:SUITE 2380
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5430
Practice Address - Country:US
Practice Address - Phone:408-600-9722
Practice Address - Fax:408-266-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25414251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC25414OtherSTATE LICENSE NUMBER ASSIGNED BY CA. BBSE