Individual
MATTHEW M HOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
8081 ADAMS RIDGE RD, DEFIANCE, OH 43512-9173
(419) 239-2113
(419) 239-2113
Mailing address
105 WESTFIELD AVE, DEFIANCE, OH 43512-1433
(419) 239-2113
(419) 239-2113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0600346
OH
101YP2500X
Professional Counselor
E.0600346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157085
—
OH
Enumeration date
11/12/2009
Last updated
10/12/2020
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