Individual provider · Type 1 NPI

Patrick Thomas Justin

Mental Health Counselor · Waukegan, IL

NPI number 1376132407 Active

Practice location

415 Washington St Ste 200
Waukegan, IL 60085-5564

Mailing address

6527 N Lakewood Ave Apt 3
Chicago, IL 60626-6532

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376132407

Patrick Thomas Justin's National Provider Identifier is 1376132407, issued on Jan 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Jan 13, 2021.