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Michael E Blea
Mental Health Counselor in Johnsburg, Illinois
NPI 1457030165

Michael E Blea is a Mental Health Counselor based in Johnsburg, IL and is specialized in Mental Health. Michael E Blea practices in Johnsburg, IL. The NPI Number for Michael E Blea is 1457030165 and holds a License No. 150-106771 (Illinois).

The current practice location address for Michael E Blea is 4210 Ella Ln, Johnsburg, IL and can be reached out via phone at 815-995-0306.

Location: 4210 Ella Ln, Johnsburg, IL, 60051-5433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457030165
Provider Name
Michael E Blea
Credential
Provider Entity Type
Individual
Gender
Male
Address
4210 Ella Ln, Johnsburg, IL, 60051-5433
Phone Number
815-995-0306
Fax Number
Provider Enumeration Date
07/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4210 Ella Ln
City
Johnsburg
State
Illinois
Zip
60051-5433
Phone Number
815-995-0306
Fax Number
person
Provider Business Mailing Address Details
Address
4210 Ella Ln
City
Johnsburg
State
Illinois
Zip
60051-5433
Phone Number
815-995-0306
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
150-106771 (Illinois)
Definition
Definition to come...
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