Michael Rene De Leon, MA
NPI #1962271403 in Bloomington, Illinois
Provider Information
- NPI Number
- 1962271403
- Entity Type
- Individual
- Name
- Michael Rene De Leon, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Dec 26, 2023
- Last Updated
- Oct 17, 2025
Practice Location
- Address
- 211 N VETERANS PKWY STE 1
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3568
- Phone
- (254) 294-6655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Marriage & Family Therapist |
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