MATTHEW KAPUSTIANYK

DEKALB, IL
NPI1528405511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  25768)
Enumeration Date2013-05-30
Last Update Date2013-05-30
Business Address
-- MATTHEW KAPUSTIANYK CADC
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
-- MATTHEW KAPUSTIANYK CADC
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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