Provider Demographics
NPI:1629675723
Name:TOWNSEND, DANIECE J (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DANIECE
Middle Name:J
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DANIECE
Other - Middle Name:J
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17813 TURTLECREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1132
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:IL
Practice Address - Zip Code:60484-3165
Practice Address - Country:US
Practice Address - Phone:708-235-7334
Practice Address - Fax:708-235-3961
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178016147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health