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Individual

MATTHEW RYAN DELAMATTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Mailing address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
CC00987
MN

Other

Enumeration date
02/02/2011
Last updated
06/27/2024
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