Provider Demographics
NPI:1962773622
Name:LA HA, DANIELLE DAWN (MA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DAWN
Last Name:LA HA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:DAWN
Other - Last Name:HELMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:309 NEW INDIAN TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-2411
Mailing Address - Country:US
Mailing Address - Phone:630-966-4000
Mailing Address - Fax:
Practice Address - Street 1:309 NEW INDIAN TRAIL CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2411
Practice Address - Country:US
Practice Address - Phone:630-966-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.00875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health