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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone 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.