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Individual
MATHEW EDWARD MCFADDEN
Active
Individual
MATHEW EDWARD MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0101051
NM
101YP2500X
Professional Counselor
Primary
180003400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002225381
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2006
Last updated
08/24/2021
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