MR. Matt Mittag

NPI #1215209531 in Aurora, Illinois

Provider Information

NPI Number: 1215209531
Entity Type: Individual
Name: MR. Matt Mittag
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 1, 2012
Last Updated: Feb 1, 2012

Practice Location

Address: 1230 PEARL ST
City: Aurora
State: Illinois
ZIP Code: 60505-4519
Phone: (630) 966-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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