Individual provider · Type 1 NPI

Michael Rene De Leon, MA

Marriage & Family Therapist · Bloomington, IL

NPI number 1962271403 Active

Practice location

211 N Veterans Pkwy Ste 1
Bloomington, IL 61704-3568

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X90221 (TX)
Marriage & Family Therapist 106H00000X166.001929 (IL)
Marriage & Family Therapist Primary 106H00000X204600 (TX)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

4 other providers at this address

Other marriage & family therapist providers in Bloomington

See all in Bloomington →

About NPI 1962271403

Michael Rene De Leon, MA's National Provider Identifier is 1962271403, issued on Dec 26, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Bloomington, IL. The record was last updated on Oct 17, 2025.