Individual
MATTHEW J WILMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2344
Mailing address
4317 FIELDCREST DR APT 1A, SIOUX CITY, IA 51103-5720
(712) 899-0111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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