Individual
MATTHEW BRYAN FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S 80TH ST, OMAHA, NE 68114-5301
(402) 965-1877
Mailing address
601 S 80TH ST, OMAHA, NE 68114-5301
(402) 516-4775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13212
NE
Other
Enumeration date
10/27/2022
Last updated
03/12/2026
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