Healthcare Provider Details

I. General information

NPI: 1043964034
Provider Name (Legal Business Name): DANIEL HAUFF LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3976 N AVONDALE AVE
CHICAGO IL
60641-2900
US

IV. Provider business mailing address

821 W WAVELAND AVE APT 3S
CHICAGO IL
60613-4328
US

V. Phone/Fax

Practice location:
  • Phone: 312-761-4721
  • Fax:
Mailing address:
  • Phone: 312-783-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.016691
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: