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1144003450
RICHARD ALAN MATSUMOTO
NORTHFIELD, IL
NPI
1144003450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.004788)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
Mr. RICHARD ALAN MATSUMOTO LCPC
465 CENTRAL AVE
NORTHFIELD, IL 60093-3045
Phone number: 773-547-2142
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Mailing Address
Mr. RICHARD ALAN MATSUMOTO LCPC
6976 N OWEN AVE
CHICAGO, IL 60631-1116
Phone number: 773-547-2142
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