Provider Demographics
NPI:1023485216
Name:RICE, DANIEL EDWARD (LMFT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:EDWARD
Last Name:RICE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 14TH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-2661
Mailing Address - Country:US
Mailing Address - Phone:209-452-6616
Mailing Address - Fax:
Practice Address - Street 1:426 14TH ST STE 111
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-2661
Practice Address - Country:US
Practice Address - Phone:209-452-6616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141445106H00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist