Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE WILLIS MATTMILLER JR., MHP
ActiveBRUCE WILLIS MATTMILLER JR., MHP is a Mental Health Counselor healthcare provider located in ASHLEY, Illinois. NPI 1487204202 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ASHLEY, IL
Registration Details
- NPI Number
- 1487204202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2019 (6.8955866754959 yrs)
- Last Updated
- Sep 13, 2019
Practice Information
- Address
-
347 N THIRD STASHLEY, IL, 628081830Browse IL providers · Browse ZIP 62808
- Phone
- 6183108932
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.