Adams, Matthew Steven

Adams, Matthew Steven is an individual health care provider with primary practice located at 900 Royal Heights Rd , Belleville IL 62226-5457. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Adams, Matthew Steven can be contacted via phone (618) 660-6593.

Contact Information

Primary practice address
900 Royal Heights Rd Belleville IL 62226-5457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013510759
LBN Legal business name Adams, Matthew Steven
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013510759 NPPES
Illinois MEDICAID 1669738563

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