Individual
SHELLIE MATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2613 SW 19TH ST, ANKENY, IA 50023-7144
(402) 216-6726
Mailing address
2613 SW 19TH ST, ANKENY, IA 50023-7144
(402) 216-6726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001447
IA
Other
Enumeration date
04/18/2012
Last updated
11/21/2025
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