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NPI Profile for MATTHEW GRADEN in OSWEGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1073229662 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 01/26/2023 | |
| Last updated | 11/05/2025 - About 7 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MATTHEW GRADEN
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MATTHEW GRADEN, LCPC