Matthew Bryan Fenn Valid NPI
Individual provider · Mental Health Counselor · Omaha, NE
- NPI
- 1235856477
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 13212 (NE)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-10-27
- Last updated
- 2026-03-12
Practice location
601 S 80th St
Omaha, NE 68114-5301
(402) 965-1877