Provider Demographics
NPI:1639623747
Name:BUCHHEIT, DANIELLE (LLPC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BUCHHEIT
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:LUNDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:SCHOOLCRAFT
Mailing Address - State:MI
Mailing Address - Zip Code:49087-0488
Mailing Address - Country:US
Mailing Address - Phone:269-762-0223
Mailing Address - Fax:
Practice Address - Street 1:311 N GRAND ST
Practice Address - Street 2:
Practice Address - City:SCHOOLCRAFT
Practice Address - State:MI
Practice Address - Zip Code:49087-5110
Practice Address - Country:US
Practice Address - Phone:269-762-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional