Individual
DANIELLE A BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1 E ERIE ST STE 525-4973, CHICAGO, IL 60611-2740
(773) 413-0105
(773) 595-4614
Mailing address
1 E ERIE ST STE 525-4973, CHICAGO, IL 60611-2740
(773) 413-0105
(773) 595-4614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720751936
NPI
—
Enumeration date
05/16/2018
Last updated
10/18/2021
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