Individual
MS. LISA J. MATZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1445 LOOKOUT DR STE 200, NORTH MANKATO, MN 56003-2501
(507) 340-5126
(507) 345-8861
Mailing address
1445 LOOKOUT DR STE 200, NORTH MANKATO, MN 56003-2501
(507) 340-5126
(507) 345-8861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01108
MN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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