Provider Demographics
NPI:1932488061
Name:RYLANDER, DANIELLE GAVIN (LMHC-A)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:GAVIN
Last Name:RYLANDER
Suffix:
Gender:F
Credentials:LMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 W RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-3855
Mailing Address - Country:US
Mailing Address - Phone:360-490-3594
Mailing Address - Fax:
Practice Address - Street 1:2142 W RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-7813
Practice Address - Country:US
Practice Address - Phone:360-426-2395
Practice Address - Fax:360-427-7980
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-07
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
WAMC61652370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No374J00000XNursing Service Related ProvidersDoula