Individual provider · Type 1 NPI
Martin Clancy
Addiction (Substance Use Disorder) Counselor · Deerfield, IL
NPI number
1811388077
Active
Practice location
460 Carriage Way
Deerfield, IL 60015-4533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1811388077
Martin Clancy's National Provider Identifier is 1811388077, issued on Feb 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deerfield, IL. The record was last updated on Feb 10, 2015.