Provider Demographics
NPI:1013478577
Name:SORRENTINO, DANIELLE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:SORRENTINO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:ZELENKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9581
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92812-7581
Mailing Address - Country:US
Mailing Address - Phone:714-788-9248
Mailing Address - Fax:
Practice Address - Street 1:505 S VILLA REAL STE 117
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3441
Practice Address - Country:US
Practice Address - Phone:714-788-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT150968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty