Individual
DALSEM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1361 E LINCOLN HWY, NEW LENOX, IL 60451-2153
(815) 722-4384
Mailing address
311 DEERING LN, BOLINGBROOK, IL 60440-6164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.014966
IL
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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