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Provider Information for 1790207793


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SHAWNA ANN RHYMES-DANIELSON LMFT


Sex: Female

NPI: 1790207793
Last Updated: 2024-09-29
Certification Date: 2024-09-29

Details

NameValue
NPI1790207793
Enumeration Date2017-07-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6209 W OAKS BLVD UNIT 913
ROCKLIN, CA 95765-5655
United States

Phone: 530-393-6536 | Fax:
 
Primary Practice Address 2640 BRESLAUER WAY
REDDING, CA 96001-4246
United States

Phone: 530-225-5252 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
Yes 106H00000X - Marriage & Family Therapist CA120459