Provider Demographics
NPI:1255991543
Name:SONNEK, DANIELLE MAE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MAE
Last Name:SONNEK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47737 STATE HIGHWAY 109
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MN
Mailing Address - Zip Code:56025-7111
Mailing Address - Country:US
Mailing Address - Phone:507-525-3044
Mailing Address - Fax:
Practice Address - Street 1:46 S BROADWAY
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:MN
Practice Address - Zip Code:56097-1633
Practice Address - Country:US
Practice Address - Phone:507-461-0874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04155101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional