Individual
DARLA WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 GALENA SQUARE DR, GALENA, IL 61036-1355
(773) 386-5936
Mailing address
PO BOX 6253, GALENA, IL 61036-6253
(779) 214-6511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21424
IL
Other
Enumeration date
07/30/2021
Last updated
06/11/2024
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