Individual
MRS. DETRALL ARNELL DEARBONE-COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
54 N WOLF RD, HILLSIDE, IL 60162-1630
(708) 606-9895
Mailing address
54 N WOLF RD, HILLSIDE, IL 60162-1630
(708) 449-5953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180004943
IL
101YM0800X
Mental Health Counselor
Primary
180004943
IL
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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