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Ryan Dieschbourg
Counselor in La Grange Park, Illinois
NPI 1962879825

Ryan Dieschbourg is a Counselor based in Westchester, IL. Ryan Dieschbourg practices in La Grange Park, IL. The NPI Number for Ryan Dieschbourg is 1962879825 and holds a License No. D21672589325 (Illinois).

The current practice location address for Ryan Dieschbourg is 333 N La Grange Rd, La Grange Park, IL and can be reached out via phone at 708-745-5277.

Location: 333 N La Grange Rd, La Grange Park, IL, 60154-5928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962879825
Provider Name
Ryan Dieschbourg
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 N La Grange Rd, La Grange Park, IL, 60154-5928
Phone Number
708-745-5277
Fax Number
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XOF890603919 01 IL BLUE CROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
person
Provider Business Mailing Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
D21672589325 (Illinois)
Definition
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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