Provider Demographics
NPI:1881947703
Name:LAMB, DANIELLE M (LPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:LAMB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 TATE WAY
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-4230
Mailing Address - Country:US
Mailing Address - Phone:307-267-4216
Mailing Address - Fax:
Practice Address - Street 1:2632 FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4757
Practice Address - Country:US
Practice Address - Phone:307-212-8014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC698101Y00000X
WYLPC1437101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor