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NPI Code Detail

MEDICARE: MATTHEW BARRINGTON M.A, LCPC, NCC

MEDICARE: MATTHEW BARRINGTON M.A, LCPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.010828IL

General Provider Information

NPI Number : 1881214260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BARRINGTON M.A, LCPC, NCC
Provider Business Mailing Address
First Line : 1844 S TROY ST # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2261
Country : US
Telephone Number : 312-662-4207
Fax Number :
Provider Business Practice Location Address
First Line : 2950 W CHICAGO AVE STE 202
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4377
Country : US
Telephone Number : 312-721-8933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2020
Last Update Date : 04/25/2020

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