| Doctor Name: | MS. DONNA LISA HERULA |
| NPI Number: | 1821164716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LCPC, LMFT, CADC |
| License Number: | 030654 (CEAP) |
| Business Practice Address: | 135 N Greenleaf St Suite 215 Gurnee, IL - 600313393 |
| Business Phone Number: | 8472694357 |
| Business Fax Number: | 8477268665 |
| Mailing Address: | 254 Rose Ter, LAKE FOREST |
| State: | IL |
| Postal Code: | 600451345 |
| Phone Number: | 8472694357 |
| Fax Number: | 8477268665 |
| NPI Enumeration Date: | 11/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 030654 (CEAP) |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |