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Individual

CRISTINA MERCADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 756-4875

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
Primary
150.117598
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
474579189001
IL
Enumeration date
09/05/2018
Last updated
04/23/2026
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