Provider Demographics
NPI:1184243974
Name:MURRRIETA, DANIELA SABRINA (MFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:SABRINA
Last Name:MURRRIETA
Suffix:
Gender:F
Credentials:MFT ASSOCIATE
Other - Prefix:
Other - First Name:DANI
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2215 SE MILLER ST APT 42
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6854
Mailing Address - Country:US
Mailing Address - Phone:562-447-4866
Mailing Address - Fax:
Practice Address - Street 1:2215 SE MILLER ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6873
Practice Address - Country:US
Practice Address - Phone:562-447-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-11
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist