Individual
DANIELLE M MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
606 BRICKER FARMS LN, SALEM, OH 44460-1174
(330) 720-4443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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