Individual provider · Type 1 NPI

Derek Robert Conn

Mental Health Counselor · Chicago, IL

NPI number 1578826632 Active

Practice location

5801 N Pulaski Rd
Chicago, IL 60646-6007

Mailing address

611 Harris Dr
Buffalo Grove, IL 60089-1672

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578826632

Derek Robert Conn's National Provider Identifier is 1578826632, issued on Jun 22, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2012.