Provider Demographics
NPI:1922693183
Name:HOUGH, DANIELLE DELEE (LPC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DELEE
Last Name:HOUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 12TH AVE S STE 202
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3952
Mailing Address - Country:US
Mailing Address - Phone:208-880-8216
Mailing Address - Fax:
Practice Address - Street 1:17 12TH AVE S STE 202
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3952
Practice Address - Country:US
Practice Address - Phone:208-880-8216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-7414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health