Individual provider · Type 1 NPI

Diana Yareli Caballero Bolanos, MA

Mental Health Counselor · Grayslake, IL

NPI number 1194557645 Active

Practice location

100 N Atkinson Rd
Grayslake, IL 60030-7801

Fax (847) 441-7968

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194557645

Diana Yareli Caballero Bolanos, MA's National Provider Identifier is 1194557645, issued on Aug 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grayslake, IL. The record was last updated on Aug 14, 2024.