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Organization
JONATHAN MATTICE FAMILY THERAPY CORPORATION
Active
Organization
JONATHAN MATTICE FAMILY THERAPY CORPORATION
Active
Other names
Jonathan Mattice Therapy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID MATTICE LMFT (CEO)
(719) 789-5307
Entity
Organization
Contact information
Practice address
2450 PERALTA BLVD STE 214, FREMONT, CA 94536-3826
(719) 789-5307
Mailing address
33688 VALLEY VIEW DR, EVERGREEN, CO 80439-7820
(707) 217-3672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
07/29/2025
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