Provider Demographics
NPI:1518207414
Name:KREEMER, DANIELLE LEE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LEE
Last Name:KREEMER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20574 US 71
Mailing Address - Street 2:
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-5063
Mailing Address - Country:US
Mailing Address - Phone:320-630-9498
Mailing Address - Fax:320-732-2301
Practice Address - Street 1:20574 US 71
Practice Address - Street 2:
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-5063
Practice Address - Country:US
Practice Address - Phone:320-630-9498
Practice Address - Fax:320-732-2301
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2215106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN263652100Medicaid