Provider Demographics
NPI:1265453344
Name:MCDANIEL, DANUTA (LCPC)
Entity type:Individual
Prefix:
First Name:DANUTA
Middle Name:
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 COLLEGE AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5795
Mailing Address - Country:US
Mailing Address - Phone:630-668-4184
Mailing Address - Fax:630-668-4192
Practice Address - Street 1:1039 COLLEGE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5795
Practice Address - Country:US
Practice Address - Phone:630-668-4184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health