Individual
KATY MATHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CRSS
Contact information
Practice address
631 S 1ST ST, DEKALB, IL 60115-4117
(815) 756-8501
Mailing address
631 S 1ST ST, DEKALB, IL 60115-4117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474579189001
—
IL
Enumeration date
02/01/2017
Last updated
02/01/2017
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