Individual provider · Type 1 NPI

Ryan Dieschbourg

Counselor · La Grange Park, IL

NPI number 1962879825 Active

Practice location

333 N La Grange Rd
La Grange Park, IL 60526-5646

Mailing address

11243 E Chesapeake Pl
Westchester, IL 60154-5928

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XD21672589325 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962879825

Ryan Dieschbourg's National Provider Identifier is 1962879825, issued on Aug 26, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in La Grange Park, IL. The record was last updated on Aug 26, 2015.