Individual provider · Type 1 NPI

Michelle Matzke, MA, LCPC

Mental Health Counselor · Peoria, IL

NPI number 1053199612 Active

Practice location

7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290

Call (309) 713-1485 Map

Fax (309) 419-4328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.015318 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1053199612

Michelle Matzke, MA, LCPC's National Provider Identifier is 1053199612, issued on Sep 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Sep 15, 2023.