Provider Demographics
NPI:1265088322
Name:SLUSSER, DANIKA C
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:C
Last Name:SLUSSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 HEMLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-3853
Mailing Address - Country:US
Mailing Address - Phone:815-441-6640
Mailing Address - Fax:
Practice Address - Street 1:2104 E 23RD ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-1608
Practice Address - Country:US
Practice Address - Phone:815-622-0938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health