Individual provider · Type 1 NPI

Devonta Haggard

Mental Health Counselor · Dekalb, IL

NPI number 1417620824 Active

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Call (815) 756-4875 Map

Mailing address

PO Box 1109
Dekalb, IL 60115-7109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417620824

Devonta Haggard's National Provider Identifier is 1417620824, issued on Jul 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Jul 30, 2021.