Individual
MATTHEW MICHAEL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPC-IT
Contact information
Practice address
600 E COUNTY HWY B, SHELL LAKE, WI 54871-8754
(715) 468-2841
Mailing address
PO BOX 265, SHELL LAKE, WI 54871-0265
(154) 682-8417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2528-226
WI
Other
Enumeration date
06/04/2015
Last updated
12/15/2022
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