| Dearbone Counseling Center, Inc | |
|
340 W Butterfield Rd Elmhurst IL 60126-5069 | |
| (708) 606-9895 | |
| (708) 449-5953 |
| Full Name | Dearbone Counseling Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 340 W Butterfield Rd, Elmhurst, Illinois |
| Authorized Official Name and Position | Detrall Arnell Dearbone-collins (CEO) |
| Authorized Official Contact | 7086069895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearbone Counseling Center, Inc 54 N Wolf Rd Hillside IL 60162-1630 Ph: (078) 606-9895 | Dearbone Counseling Center, Inc 340 W Butterfield Rd Elmhurst IL 60126-5069 Ph: (708) 606-9895 |
| NPI Number | 1902333651 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 0648617670 |
|---|---|
| Medicare Enrollment ID | O20240326001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902333651 | NPI | - | NPPES |
| 3556092641 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180004943 (Illinois) | Primary |
| Provider Name | Benjamin Leven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932605789 PECOS PAC ID: 9931464146 Enrollment ID: I20180517000897 |
| Provider Name | Detrall Arnell Dearbone-collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518283183 PECOS PAC ID: 2466899497 Enrollment ID: I20240326001569 |
| Provider Name | Joann Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639835481 PECOS PAC ID: 2668819533 Enrollment ID: I20240327002222 |
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