Individual
DANIELLE NICOLE MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1830 E ROOSEVELT ST, PHOENIX, AZ 85006-3641
(714) 732-2005
Mailing address
5113 N 32ND ST, PHOENIX, AZ 85018-1402
(714) 732-2005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-21226
AZ
Other
Enumeration date
08/16/2018
Last updated
04/21/2025
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