Individual
CICELY MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
711 6TH AVE NE # 1, ISANTI, MN 55040-3207
(651) 983-8023
Mailing address
711 6TH AVE NE # 1, ISANTI, MN 55040-3207
(651) 983-8023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01954
MN
Other
Enumeration date
07/21/2015
Last updated
12/04/2018
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