Individual
ALEXA MATTHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Mailing address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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