Individual
ASHLEY A MATTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2445-226
WI
101YM0800X
Mental Health Counselor
Primary
6208-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046869
—
WI
Enumeration date
06/18/2015
Last updated
11/01/2019
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