Individual provider · Type 1 NPI

Adam Defina

Mental Health Counselor · Mattoon, IL

NPI number 1659757235 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Fax (217) 238-5767

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659757235

Adam Defina's National Provider Identifier is 1659757235, issued on Aug 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mattoon, IL. The record was last updated on Aug 5, 2015.