Provider Demographics
NPI:1841671641
Name:DALUGA, DANA CICI (MA, LCPC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:CICI
Last Name:DALUGA
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 W PICKWICK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3753
Mailing Address - Country:US
Mailing Address - Phone:773-206-8860
Mailing Address - Fax:
Practice Address - Street 1:401 S. LASALLE ST.
Practice Address - Street 2:801 M
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605
Practice Address - Country:US
Practice Address - Phone:773-206-8860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009651101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor