Individual provider · Type 1 NPI
Benjamin Michael Dally, L.C.P.C.
Mental Health Counselor · Glen Ellyn, IL
NPI number
1639444573
Active
Practice location
800 Roosevelt Road Bldg E, Ste 410, #8
Glen Ellyn, IL 60137-5839
Mailing address
26W068 Jewell Rd
Wheaton, IL 60187-3931
Other practice locations
- 499 Anthony St, Glen Ellyn, IL 60137-4468 · (630) 866-7161
- 26W068 Jewell Rd, Wheaton, IL 60187-3931 · (253) 223-5468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180007749 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1639444573
Benjamin Michael Dally, L.C.P.C.'s National Provider Identifier is 1639444573, issued on Mar 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Ellyn, IL. The record was last updated on Oct 23, 2023.