Provider Demographics
NPI:1740904481
Name:STOKES, DANIELE D (CRC)
Entity type:Individual
Prefix:
First Name:DANIELE
Middle Name:D
Last Name:STOKES
Suffix:
Gender:M
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 PUTNAM AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1606
Mailing Address - Country:US
Mailing Address - Phone:917-698-0318
Mailing Address - Fax:
Practice Address - Street 1:166 PUTNAM AVE STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1606
Practice Address - Country:US
Practice Address - Phone:917-698-0318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty