Individual
DELMARIS VARGAS MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(787) 560-9762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270.000213
ASSOCIATE SEX OFFENDER PROVIDER LICENSE
IL
Enumeration date
02/04/2020
Last updated
01/19/2022
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