Individual
DR. DAVID JACK DALRYMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN., LCPC, NCPSYA
Contact information
Practice address
2007 VALLEY RD, ROCKFORD, IL 61107-1370
(815) 397-7729
(815) 397-7729
Mailing address
2007 VALLEY RD, ROCKFORD, IL 61107-1370
(815) 397-7729
(815) 397-7729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10108005
BC/BS
IL
01
—
MHS482493
VALUEOPTIONS
IL
Enumeration date
08/14/2006
Last updated
07/08/2007
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