Organization
MATTHEW WADDELL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WADDELL LMSW (OWNER)
(734) 210-1187
Entity
Organization
Contact information
Practice address
103 E LIBERTY ST STE 203, ANN ARBOR, MI 48104-2136
(734) 210-1187
Mailing address
1434 KINGWOOD ST, YPSILANTI, MI 48197-2008
(810) 410-5583
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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