Provider Demographics
NPI:1427872456
Name:METZ, TONY ALAN (LPC)
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:ALAN
Last Name:METZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 PARK PL
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4219
Mailing Address - Country:US
Mailing Address - Phone:217-592-2733
Mailing Address - Fax:
Practice Address - Street 1:822 STATE ST # 9
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-4961
Practice Address - Country:US
Practice Address - Phone:217-231-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health