Individual
BRIAN NOTTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
310 W CHICAGO AVE, CHICAGO, IL 60654-5106
(312) 943-6545
Mailing address
130 S FAIRLANE AVE, ELMHURST, IL 60126-3623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.009980
IL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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