Provider Demographics
NPI:1285968115
Name:PALOMAR, DANETTE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:DANETTE
Middle Name:
Last Name:PALOMAR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:DANETTE
Other - Middle Name:
Other - Last Name:GIARRIZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2742 W WELLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1622 WILLOW RD STE 200
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3450
Practice Address - Country:US
Practice Address - Phone:847-853-0234
Practice Address - Fax:847-853-0230
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004387101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health