Provider Demographics
NPI:1487950333
Name:REDDEN, DANIEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:REDDEN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 990665
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96099-0665
Mailing Address - Country:US
Mailing Address - Phone:530-710-8977
Mailing Address - Fax:
Practice Address - Street 1:1650 OREGON ST STE 105
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-710-8977
Practice Address - Fax:530-319-3180
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT80110106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist