Individual
LARRY ALLEN MATJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4700 S MILL AVE, STE 4, TEMPE, AZ 85287
(602) 695-5759
(480) 831-9274
Mailing address
4700 S MILL AVE, STE 4, TEMPE, AZ 85282
(602) 695-5759
(480) 831-9274
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1539
AZ
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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