Individual
MICHELLE DJUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, CADC
Contact information
Practice address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(815) 261-3450
Mailing address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(815) 261-3450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35205
IL
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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