Individual
BENJAMIN MICHAEL DALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
800 ROOSEVELT ROAD BLDG E, STE 410, #8, GLEN ELLYN, IL 60137-5839
(630) 216-9201
Mailing address
26W068 JEWELL RD, WHEATON, IL 60187-3931
(253) 223-5468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007749
IL
Other
Enumeration date
03/10/2012
Last updated
10/23/2023
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