Individual
MATTHEW LAWRENCE TOLLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2831 SAINT ROSE PKWY, SUITE 236, HENDERSON, NV 89052-4840
(702) 589-4869
(702) 589-4866
Mailing address
2831 SAINT ROSE PKWY, SUITE 236, HENDERSON, NV 89052-4840
(702) 589-4869
(702) 589-4866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
11/22/2011
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