Provider Demographics
NPI:1124325048
Name:HANKS, DANIEL L (LPC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:HANKS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E COEUR DALENE AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4926
Mailing Address - Country:US
Mailing Address - Phone:208-640-0861
Mailing Address - Fax:
Practice Address - Street 1:211 E COEUR DALENE AVE
Practice Address - Street 2:STE 102
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4926
Practice Address - Country:US
Practice Address - Phone:208-640-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional