| Doctor Name: | MS. DANA MARIE DELONG |
| NPI Number: | 1063613255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.C.P.C. |
| License Number: | |
| Business Practice Address: | 604 E College St Carbondale, IL - 629013309 |
| Business Phone Number: | 6184576703 |
| Business Fax Number: | 6185294563 |
| Mailing Address: | 64 Bobette Ln, CARBONDALE |
| State: | IL |
| Postal Code: | 629015866 |
| Phone Number: | 6185291858 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |