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General NPI Number Information
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NPI Number | 1821164716
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Entity Type | Individual
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Provider Name | DONNA LISA HERULA MS, LCPC, LMFT, CADC
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 135 N GREENLEAF ST SUITE 215
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City | GURNEE
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State | IL
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Zip | 60031-3393
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Country | US
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Telephone | 847-269-4357
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Fax | 847-726-8665
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Provider Business Mailing Address
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Address Line | 254 ROSE TER
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City | LAKE FOREST
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State | IL
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Zip | 60045-1345
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Country | US
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Telephone | 847-269-4357
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Fax | 847-726-8665
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 030654 (CEAP)
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15147
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | IL
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