Individual provider · Type 1 NPI

Desirae Patrick

Mental Health Counselor · Mount Carroll, IL

NPI number 1154798684 Active

Practice location

1126 Healthcare Dr
Mount Carroll, IL 61053-1469

Call (815) 244-4200 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154798684

Desirae Patrick's National Provider Identifier is 1154798684, issued on Sep 1, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Carroll, IL. The record was last updated on Sep 1, 2015.