Matthew Severing

NPI #1942665245 in Dixon, Illinois

Provider Information

NPI Number: 1942665245
Entity Type: Individual
Name: Matthew Severing
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 31, 2015
Last Updated: Dec 31, 2015

Practice Location

Address: 325 IL ROUTE 2
City: Dixon
State: Illinois
ZIP Code: 61021
Phone: (815) 284-6611

Specialties & Taxonomy Codes

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

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