Individual provider · Type 1 NPI

Mary Matty Speth, CADC

Addiction (Substance Use Disorder) Counselor · Evanston, IL

NPI number 1215445143 Active

Practice location

906 Davis St
Evanston, IL 60201-3608

Call (847) 492-1778 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X32625 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215445143

Mary Matty Speth, CADC's National Provider Identifier is 1215445143, issued on Jan 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Evanston, IL. The record was last updated on Jan 12, 2018.