Provider Demographics
NPI:1831452283
Name:DALY, ANN STEWART (LCPC,NCC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:STEWART
Last Name:DALY
Suffix:
Gender:F
Credentials:LCPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-6725
Mailing Address - Country:US
Mailing Address - Phone:847-571-4696
Mailing Address - Fax:
Practice Address - Street 1:653 S ELM ST
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-6725
Practice Address - Country:US
Practice Address - Phone:847-571-4696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health