MATTHEW KOELLING

WEST PLAINS, MO
NPI1144792870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
MATTHEW KOELLING
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
Mailing Address
MATTHEW KOELLING
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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