Provider Demographics
NPI:1083863047
Name:MUMFORD, DANIELLE LOUISE (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LOUISE
Last Name:MUMFORD
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1610
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-1610
Mailing Address - Country:US
Mailing Address - Phone:209-489-0799
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1610
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-1610
Practice Address - Country:US
Practice Address - Phone:209-489-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124330106H00000X
390200000X
CA83277106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program