MR. Matthew N Caston JR., LCPC

NPI #1154881233 in South Holland, Illinois

Provider Information

NPI Number: 1154881233
Entity Type: Individual
Name: MR. Matthew N Caston JR., LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Mar 23, 2019
Last Updated: Jan 6, 2021

Practice Location

Address: 847 E 166TH ST
City: South Holland
State: Illinois
ZIP Code: 60473-2401
Phone: (312) 852-4613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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