Individual provider · Type 1 NPI
Dennis Delfosse, LCPC
Professional Counselor · Chicago, IL
NPI number
1164512182
Active
Practice location
4753 N Broadway St, Suite 900, 910, 925
Chicago, IL 60640-5266
Fax (773) 989-2781
Other practice locations
- 820 Davis St Ste 222, Evanston, IL 60201-4445 · (773) 989-2780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 180-003164 (IL) |
| Professional Counselor Primary | 101YP2500X | 180003164 (IL) |
Professional Counselor: Definition to come...
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About NPI 1164512182
Dennis Delfosse, LCPC's National Provider Identifier is 1164512182, issued on Oct 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 23, 2023.