PATRICK THOMAS JUSTIN - NPI 1376132407 - Counselor in Waukegan, IL

Q: What is Patrick Justin's NPI number?

The NPI number for Patrick Justin is 1376132407. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Q: What is Patrick Justin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Justin was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Patrick Thomas Justin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK THOMAS JUSTIN (NPI 1376132407) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1376132407

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePATRICK THOMAS JUSTIN

Location Address415 WASHINGTON ST STE 200Waukegan, IL 60085-5564

Mailing Address6527 N Lakewood Ave Apt 3Chicago, IL 60626-6532 · (813) 951-4162

Phone(847) 441-5600

Sole ProprietorNo

Enumeration DateJanuary 13, 2021

NPPES CertifiedJanuary 13, 2021

✔ NPI 1376132407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

415 WASHINGTON ST STE 200, Waukegan, IL 60085

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN C POLAND

Counselor (Mental Health)