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Individual

KRISTA MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLLP, LLPC

Contact information

Practice address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Mailing address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012458
MI
103TC0700X
Clinical Psychologist
6401012458
MI

Other

Enumeration date
12/05/2011
Last updated
02/22/2021
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