Individual
MRS. HOLLY MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP LPC
Contact information
Practice address
101 ENTERPRISE DR, GRETNA, NE 68028-7943
(402) 431-2701
Mailing address
1309 S 204TH ST # 308, ELKHORN, NE 68022-2880
(913) 579-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5883
NE
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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