Hollo, Matthew M

Hollo, Matthew M is an sole proprietor health care provider with primary practice located at 8081 Adams Ridge Rd , Defiance OH 43512-9173. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Hollo, Matthew M can be contacted via phone (419) 239-2113.

Contact Information

Primary practice address
8081 Adams Ridge Rd Defiance OH 43512-9173
Phone: (419) 239-2113
Fax: (419) 239-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0600346 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.0600346 Ohio

Profile Details

NPI number 1629305586
LBN Legal business name Hollo, Matthew M
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2009
Last updated Oct 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629305586 NPPES
Ohio MEDICAID 0157085

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