Individual
MR. MATTHEW MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
728 1ST AVE N, FORT DODGE, IA 50501-0466
(515) 227-0334
Mailing address
106 TAFT ST N, HUMBOLDT, IA 50548-1770
(515) 227-0334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080281
IA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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