Individual
ABCDE MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 ROOSEVELT AVE STE 2, MOUNT VERNON, WA 98273-2687
(360) 939-1450
Mailing address
6837 BRAKER WAY, LYNDEN, WA 98264-9605
(808) 756-6144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61334666
WA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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