Individual
MATTHEW HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
2021 ATWOOD AVE, MADISON, WI 53704-5324
(608) 244-4859
Mailing address
2021 ATWOOD AVE, MADISON, WI 53704-5324
(608) 244-4859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4766-226
WI
Other
Enumeration date
10/08/2020
Last updated
06/02/2021
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