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Miles Matise, LPC
Mental Health Counselor in Greeley, Colorado
NPI 1912017187

Miles Matise is a Mental Health Counselor based in Greeley, CO and is specialized in Mental Health. Miles Matise practices in Greeley, CO and has the professional credentials of LPC. The NPI Number for Miles Matise is 1912017187 and holds a License No. 4120 (Colorado).

The current practice location address for Miles Matise is 1306 11Th Ave, Greeley, CO and can be reached out via phone at 970-347-2120 and via fax at 970-353-3906. You can also correspond with Miles Matise through the mailing address at 1306 11TH AVE, GREELEY, CO - 80631-3835 (mailing address contact number: 970-347-2120).

Location: 1306 11Th Ave, Greeley, CO, 80631-3835
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Provider Profile Details
NPI Number
1912017187
Provider Name
Miles Matise
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1306 11Th Ave, Greeley, CO, 80631-3835
Phone Number
970-347-2120
Fax Number
970-353-3906
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4120 01 CO LPC
institution
Provider Business Practice Location Address Details
Address
1306 11Th Ave
City
State
Zip
80631-3835
Phone Number
970-347-2120
Fax Number
970-353-3906
person
Provider Business Mailing Address Details
Address
1306 11Th Ave
City
State
Zip
80631-3835
Phone Number
970-347-2120
Fax Number
970-353-3906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4120 (Colorado)
Definition
Definition to come...
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