Individual
MS. MARGARET R DELAFUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. CADC
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-2834
Mailing address
7865 S CLINTON ST, DIXON, IL 61021-9410
(815) 284-6611
(815) 284-2834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23499
IL
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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