MS. Elizabeth Rose Mattax, LCPC
NPI #1386787026 in Forest Park, Illinois
Provider Information
- NPI Number
- 1386787026
- Entity Type
- Individual
- Name
- MS. Elizabeth Rose Mattax, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 540 FERDINAND AVE
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1889
- Phone
- (708) 714-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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