Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 26083 | IL |
Y | 1041C0700X | Clinical Social Worker | 149.015085 | IL |
NPI | 1003162520 |
---|---|
Provider Name | Mrs. Danielle Brandy Webb |
First Address | Chicago, IL 60661-1259 |
Second Address | Chicago, IL 60638-2039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2012 |
Last Update Date | 29/03/2019 |