MICHAEL RENE DE LEON

BLOOMINGTON, IL
NPI1962271403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: TX  204600)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: TX  90221)
106H00000X Marriage & Family Therapist
(Licence: IL  166.001929)
Enumeration Date2023-12-26
Last Update Date2025-10-17
Business Address
MICHAEL RENE DE LEON MA
211 N VETERANS PKWY STE 1
BLOOMINGTON, IL 61704-3568
Phone number: 254-294-6655
Mailing Address
MICHAEL RENE DE LEON MA
211 N VETERANS PKWY STE 1
BLOOMINGTON, IL 61704-3568
Phone number: 254-294-6655