Provider Demographics
NPI:1659546646
Name:WUNKER, DANIELLE NICOLE (CRC, LPC, LCAS)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:WUNKER
Suffix:
Gender:F
Credentials:CRC, LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 COMMERCE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5032
Mailing Address - Country:US
Mailing Address - Phone:252-215-9195
Mailing Address - Fax:252-215-9196
Practice Address - Street 1:223 COMMERCE ST
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5032
Practice Address - Country:US
Practice Address - Phone:252-215-9195
Practice Address - Fax:252-215-9196
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional