Individual
EMMA MARIE MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
521 ARBOR DR UNIT 103, SAN DIEGO, CA 92103-7432
(703) 291-3736
Mailing address
325 ELLINGTON BLVD # 509, GAITHERSBURG, MD 20878-4591
(703) 291-3736
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LGP14588
MD
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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