Provider Demographics
NPI:1265797013
Name:CARR, DANIELLE (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:DORFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 NEIL ST
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1565
Mailing Address - Country:US
Mailing Address - Phone:518-420-6023
Mailing Address - Fax:
Practice Address - Street 1:28 BERNARD STREET
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983
Practice Address - Country:US
Practice Address - Phone:518-420-6023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health