Individual
SUSAN M NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CODP 1, CHAA
Contact information
Practice address
1175 SPRUCE LN UNIT G, ELGIN, IL 60120-4820
(779) 220-1383
Mailing address
1175 SPRUCE LN UNIT G, ELGIN, IL 60120-4820
(779) 220-1383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37240
IL
101YM0800X
Mental Health Counselor
195000
IL
175T00000X
Peer Specialist
—
IL
246Y00000X
Health Information Specialist/Technologist
NA
MI
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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