Provider Demographics
NPI:1083174239
Name:DANZELL, CINDY CRYSTAL (MS, LCPC, NCC, PEL)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:CRYSTAL
Last Name:DANZELL
Suffix:
Gender:F
Credentials:MS, LCPC, NCC, PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 JAMESTOWN LN
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2967
Mailing Address - Country:US
Mailing Address - Phone:331-575-9506
Mailing Address - Fax:
Practice Address - Street 1:106 JAMESTOWN LN
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2967
Practice Address - Country:US
Practice Address - Phone:331-575-9506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health