Provider Demographics
NPI:1013523562
Name:RUEB, DANIELLE SUZANNE (LMHCA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SUZANNE
Last Name:RUEB
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NW LINDVIG WAY
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6520
Mailing Address - Country:US
Mailing Address - Phone:360-649-0222
Mailing Address - Fax:
Practice Address - Street 1:225 NW LINDVIG WAY
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-6520
Practice Address - Country:US
Practice Address - Phone:360-649-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61076249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health