Organization
MATTHEW MARX THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ROBERT MARX LCPC (OWNER/THERAPIST)
(920) 221-9691
Entity
Organization
Contact information
Practice address
1509 OAK AVE APT 3N, EVANSTON, IL 60201-4263
(920) 221-9691
Mailing address
1509 OAK AVE APT 3N, EVANSTON, IL 60201-4263
(920) 221-9691
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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