Provider Demographics
NPI:1154443695
Name:FOUST, DANIEL L (MA, LCPC, CADC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:FOUST
Suffix:
Gender:M
Credentials:MA, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N GREENLEAF ST STE 215
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3371
Mailing Address - Country:US
Mailing Address - Phone:847-726-8620
Mailing Address - Fax:
Practice Address - Street 1:135 N GREENLEAF ST STE 215
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3371
Practice Address - Country:US
Practice Address - Phone:847-726-8620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1960101YA0400X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional