Provider Demographics
NPI:1750713525
Name:VANCE, DANNY JOE (MS, LPCC)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:JOE
Last Name:VANCE
Suffix:
Gender:M
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 GRANNIS ST
Mailing Address - Street 2:PO BOX 154
Mailing Address - City:VERNON CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:56090-1127
Mailing Address - Country:US
Mailing Address - Phone:507-726-6550
Mailing Address - Fax:
Practice Address - Street 1:201 EAST STREET SOUTH
Practice Address - Street 2:PO BOX 154
Practice Address - City:VERNON CENTER
Practice Address - State:MN
Practice Address - Zip Code:56090
Practice Address - Country:US
Practice Address - Phone:507-549-3636
Practice Address - Fax:507-549-3636
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional