Individual
MR. MATTHEW JOSEPH MONCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
5549 N HIGHWAY 13, BRIGHTON, MO 65617-8112
(417) 376-2238
(417) 376-2014
Mailing address
PO BOX 617, BRIGHTON, MO 65617-0617
(417) 376-2238
(417) 376-2014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
495906406
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495906406
—
MO
Enumeration date
11/07/2006
Last updated
12/18/2009
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