Individual
MATTISON BLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 W BELOIT RD STE 201, MILWAUKEE, WI 53227-4357
(414) 380-3001
(414) 775-2734
Mailing address
1125 N 9TH ST APT 327, MILWAUKEE, WI 53233-1437
(224) 430-6707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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