Provider Demographics
NPI:1467501148
Name:DANISKA, VICKY DARLENE (MA, NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:VICKY
Middle Name:DARLENE
Last Name:DANISKA
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 STEWART DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO
Mailing Address - State:PA
Mailing Address - Zip Code:15613-8826
Mailing Address - Country:US
Mailing Address - Phone:724-727-2614
Mailing Address - Fax:
Practice Address - Street 1:1011 OLD SALEM RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1094
Practice Address - Country:US
Practice Address - Phone:724-837-9540
Practice Address - Fax:724-837-3676
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional