Individual
MS. DIANA YARELI CABALLERO BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 N ATKINSON RD, GRAYSLAKE, IL 60030-7801
(847) 441-5600
(847) 441-7968
Mailing address
100 N ATKINSON RD, GRAYSLAKE, IL 60030-7801
(847) 441-5600
(847) 441-7968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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