Individual
DANIELLE DUNNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4411 N RAVENSWOOD AVE STE 200, CHICAGO, IL 60640-5802
(773) 999-9987
Mailing address
4900 S FORRESTVILLE AVE APT 2, CHICAGO, IL 60615-2453
(773) 225-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952780264
COMMERCIAL INSURANCE
—
Enumeration date
05/25/2022
Last updated
05/25/2022
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