Organization
DEARBONE COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRALL ARNELL DEARBONE-COLLINS MS (CEO)
(708) 606-9895
Entity
Organization
Contact information
Practice address
340 W BUTTERFIELD RD, ELMHURST, IL 60126-5069
(708) 606-9895
(708) 449-5953
Mailing address
54 N WOLF RD, HILLSIDE, IL 60162-1630
(078) 606-9895
(708) 449-5953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004943
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3556092641
—
IL
Enumeration date
05/12/2017
Last updated
05/12/2017
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