Individual provider · Type 1 NPI
Bruce Willis Mattmiller Jr., MHP
Mental Health Counselor · Ashley, IL
NPI number
1487204202
Active
Practice location
347 N Third St
Ashley, IL 62808-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1487204202
Bruce Willis Mattmiller Jr., MHP's National Provider Identifier is 1487204202, issued on Sep 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashley, IL. The record was last updated on Sep 13, 2019.