Provider Demographics
NPI:1194894006
Name:DANIELS, KATELYN ELIZABETH (MA LCPC)
Entity type:Individual
Prefix:MS
First Name:KATELYN
Middle Name:ELIZABETH
Last Name:DANIELS
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 1:2332 COUNTY FARM LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-4806
Mailing Address - Country:US
Mailing Address - Phone:847-490-1295
Mailing Address - Fax:
Practice Address - Street 1:2332 COUNTY FARM LN
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-4806
Practice Address - Country:US
Practice Address - Phone:847-490-1295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional