Individual
ALONZO R CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SPINNING WHEEL RD STE 406, HINSDALE, IL 60521-5400
(773) 312-3612
Mailing address
4104 N STATE HIGHWAY 251, MENDOTA, IL 61342-9753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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