Individual
MATTHEW DHEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W SPENCER ST, APPLETON, WI 54914-4015
(920) 734-8740
(920) 734-8740
Mailing address
4000 W SPENCER ST, APPLETON, WI 54914-4015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15401-130
WI
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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