Provider Demographics
NPI:1790219764
Name:MORABITO, DANIELLE YVETTE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:YVETTE
Last Name:MORABITO
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FERN DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95006-9023
Mailing Address - Country:US
Mailing Address - Phone:530-868-6929
Mailing Address - Fax:
Practice Address - Street 1:220 FERN DR
Practice Address - Street 2:
Practice Address - City:BOULDER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95006-9023
Practice Address - Country:US
Practice Address - Phone:714-588-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95772101YM0800X
CA125368106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health