Provider Demographics
NPI:1679015200
Name:DARDEN, DANIELLE CHRISTINE (MS, LBSC, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:DARDEN
Suffix:
Gender:F
Credentials:MS, LBSC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 OLD CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2045
Mailing Address - Country:US
Mailing Address - Phone:215-341-1020
Mailing Address - Fax:
Practice Address - Street 1:2630 W CHELTENHAM AVE FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19150-1311
Practice Address - Country:US
Practice Address - Phone:215-341-1020
Practice Address - Fax:267-627-2848
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002753101Y00000X
PAPC014251101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor