Individual
MATTHEW C ANDERSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5895
Mailing address
614 GALLOWAY ST, EAU CLAIRE, WI 54703-3516
(602) 320-8877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15368-131
WI
101YP2500X
Professional Counselor
Primary
4222-125
WI
Other
Enumeration date
08/18/2008
Last updated
10/06/2014
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