Individual
MATTHEW DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1258 BROADWAY ST, QUINCY, IL 62301-2812
(217) 223-0170
Mailing address
1258 BROADWAY ST, QUINCY, IL 62301-2812
(217) 223-0170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
45019
IL
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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