SearchIllinois101YM0800X

Elizabeth Mattax, LCPC

NPI 1386787026 · on the registry since 2007 · sole proprietor

Practice

Address
540 Ferdinand Ave
Forest Park, IL 60130
Phone
(708) 714-3200

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois