Provider Demographics
NPI:1902104672
Name:LANGFORD, DANIELLE (CADC-II-CA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:CADC-II-CA
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:ANNE
Other - Last Name:MASHBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAADE
Mailing Address - Street 1:6938 E CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1417
Mailing Address - Country:US
Mailing Address - Phone:559-458-6900
Mailing Address - Fax:
Practice Address - Street 1:1925 E DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4821
Practice Address - Country:US
Practice Address - Phone:559-600-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII051040218101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050012I-21OtherCATC
CAAII051040218OtherCADC II-CA