Organization · Type 2 NPI
Matthew Boltz Lcsw, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1154059624
Active
Practice location
505 W Melrose St Apt 401
Chicago, IL 60657-3726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1154059624
Matthew Boltz Lcsw, PLLC's National Provider Identifier is 1154059624, issued on Aug 11, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Aug 11, 2022.