Provider Demographics
NPI:1780570952
Name:HILLBURN, DANIELA P (SAC-IT)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:P
Last Name:HILLBURN
Suffix:
Gender:F
Credentials:SAC-IT
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:P
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N12175 CTH-K
Mailing Address - Street 2:
Mailing Address - City:TREMPEALEAU
Mailing Address - State:WI
Mailing Address - Zip Code:54661
Mailing Address - Country:US
Mailing Address - Phone:442-262-4246
Mailing Address - Fax:
Practice Address - Street 1:N12175 CTH-K
Practice Address - Street 2:
Practice Address - City:TREMPEALEAU
Practice Address - State:WI
Practice Address - Zip Code:54661
Practice Address - Country:US
Practice Address - Phone:442-262-4246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20241130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)