Individual
MS. DANIELLE G STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2428 CHARTRES ST, LA SALLE, IL 61301-1107
(815) 780-8765
Mailing address
PO BOX 185, 304 N MILWAUKEE ST, MARK, IL 61340-0185
(309) 830-1096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-006374
IL
Other
Enumeration date
01/11/2007
Last updated
06/21/2022
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