Provider Demographics
NPI:1760178602
Name:JAMES, DANIEL RUFUS (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RUFUS
Last Name:JAMES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 E REDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5736
Mailing Address - Country:US
Mailing Address - Phone:602-722-3993
Mailing Address - Fax:
Practice Address - Street 1:1177 E REDFIELD RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5736
Practice Address - Country:US
Practice Address - Phone:602-722-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health