Provider Demographics
NPI:1699261263
Name:SANTANGELO, DANIEL B (LCPC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:SANTANGELO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7448 SYCAMORE CT APT 1SW
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-8814
Mailing Address - Country:US
Mailing Address - Phone:309-370-7780
Mailing Address - Fax:
Practice Address - Street 1:7448 SYCAMORE CT APT 1SW
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-8814
Practice Address - Country:US
Practice Address - Phone:309-370-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-07
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional