Individual
HOLLY ANNE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4605 LAKE TRAIL DR APT 2B, LISLE, IL 60532-1412
(630) 707-1799
Mailing address
4605 LAKE TRAIL DR APT 2B, LISLE, IL 60532-1412
(630) 707-1799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009307
IL
Other
Enumeration date
06/04/2010
Last updated
06/02/2021
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