person
Matthew Kapustianyk, CADC
Addiction (Substance Use Disorder) Counselor in Dekalb, Illinois
NPI 1528405511

Matthew Kapustianyk is an Addiction (Substance Use Disorder) Counselor based in Dekalb, IL and is specialized in Addiction (Substance Use Disorder). Matthew Kapustianyk practices in Dekalb, IL and has the professional credentials of CADC. The NPI Number for Matthew Kapustianyk is 1528405511 and holds a License No. 25768 (Illinois).

The current practice location address for Matthew Kapustianyk is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875 and via fax at 815-756-2944.

Location: 12 Health Services Dr, Dekalb, IL, 60115-9637
person
Provider Profile Details
NPI Number
1528405511
Provider Name
Matthew Kapustianyk
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Dr, Dekalb, IL, 60115-9637
Phone Number
815-756-4875
Fax Number
815-756-2944
Provider Enumeration Date
05/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25768 01 IL CADC
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
815-756-2944
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25768 (Illinois)
Definition
Definition to come...
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