Individual provider · Type 1 NPI
Joanna Marie Dy De Leon, MS, LCPC
Professional Counselor · Rockford, IL
NPI number
1194362947
Active
Practice location
4615 E State St Ste 204
Rockford, IL 61108-2158
Fax (779) 970-5908
Other practice locations
- 129 S Phelps Avenue, Building 10, Suite 1006, Rockford, IL 61108-2456 · (815) 246-2880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | 180014142 (IL) |
| Professional Counselor | 101YP2500X | 178014740 (IL) |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Rockford
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- Sean Walsh, LPCProfessional Counselor Rockford, IL NPI 1023413473
- Nicole Ping Ticknor, LPCProfessional Counselor Rockford, IL NPI 1023489853
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About NPI 1194362947
Joanna Marie Dy De Leon, MS, LCPC's National Provider Identifier is 1194362947, issued on Nov 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Apr 30, 2024.