Individual
AMY E MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26021
IL
101YP2500X
Professional Counselor
Primary
180.007316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.007316
LCPC-STATE LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
01
—
219970
NCC-NATIONAL CERTIFIED COUNSELOR
—
01
—
26021
CADC--STATE CERTIFIED ALCOHOL AND DRUG COUNSELOR LICENSE
IL
Enumeration date
02/18/2010
Last updated
09/19/2019
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