Individual
MATTHEW MEHLTRETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 ELM ST, BUFFALO, NY 14203-1621
(716) 854-2444
Mailing address
17 CROWNVIEW TER APT B, HAMBURG, NY 14075-4647
(716) 544-0487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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