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Organization
MATTISON THERAPEUTIC CONSULTING AND COUNSELING
Active
Organization
MATTISON THERAPEUTIC CONSULTING AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE MATTISON CMHC (OWNER/THERAPIST)
(205) 612-0902
Entity
Organization
Contact information
Practice address
667 E REDONDO AVE, SALT LAKE CITY, UT 84105-3028
(205) 612-0902
Mailing address
667 E REDONDO AVE, SALT LAKE CITY, UT 84105-3028
(205) 612-0902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10186313-6004
UT
251S00000X
Community/Behavioral Health Agency
10186313-6004
UT
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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