Provider Demographics
NPI:1750612073
Name:ABBEY, DANA L (MA, LCPC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:ABBEY
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:GODLEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:2720 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-3230
Mailing Address - Country:US
Mailing Address - Phone:224-406-4558
Mailing Address - Fax:
Practice Address - Street 1:2720 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-3230
Practice Address - Country:US
Practice Address - Phone:224-406-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008249101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health