Individual
MR. BRIAN JAMES BUILTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CADC
Contact information
Practice address
675 VARSITY DRIVE, ELGIN, IL 60120-8176
(847) 741-2600
(847) 741-3248
Mailing address
2309 MEADOWS LANE, ROUND LAKE BEACH, IL 60073-4114
(847) 548-6707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21357
IL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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