Individual provider · Type 1 NPI

Mattison Blanck

Mental Health Counselor · Milwaukee, WI

NPI number 1114739398 Active

Practice location

9401 W Beloit Rd Ste 201
Milwaukee, WI 53227-4357

Fax (414) 775-2734

Mailing address

1125 N 9th St Apt 327
Milwaukee, WI 53233-1437

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114739398

Mattison Blanck's National Provider Identifier is 1114739398, issued on Jan 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 23, 2025.