Individual
MR. MATT ELIOT GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC-IT, SAC-IT
Contact information
Practice address
2321 E CAPITOL DR, SUITE 500, SHOREWOOD, WI 53211-2119
(414) 377-0504
Mailing address
2321 E CAPITOL DR, SUITE 500, SHOREWOOD, WI 53211-2119
(414) 377-0504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2725-226
WI
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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