Matthew Lee Velissaris

NPI #1013341221 in Milwaukee, Wisconsin

Provider Information

NPI Number
1013341221
Entity Type
Individual
Name
Matthew Lee Velissaris
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 23, 2013
Last Updated
Jun 9, 2014

Practice Location

Address
4001 W CAPITOL DR
ZIP Code
53216-2530
Phone
(414) 759-5193

Specialties & Taxonomy Codes

Specialty
Counselor

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