Provider Demographics
NPI:1194249599
Name:BAUER, DANIELLE CAROL (LPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CAROL
Last Name:BAUER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:CAROL
Other - Last Name:MCCOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSE, LPC
Mailing Address - Street 1:424 E LONGVIEW DR.
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-2167
Mailing Address - Country:US
Mailing Address - Phone:920-234-9240
Mailing Address - Fax:920-364-6096
Practice Address - Street 1:424 E LONGVIEW DR.
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-2167
Practice Address - Country:US
Practice Address - Phone:920-234-9240
Practice Address - Fax:920-364-6096
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3601226101YM0800X
WI7319-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health