Organization
THE CREATIVE COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C MATTSON PHD (OWNER)
(906) 370-1668
Entity
Organization
Contact information
Practice address
3215 TOWER AVE, SUITE 108, SUPERIOR, WI 54880-5388
(906) 370-1668
Mailing address
3215 TOWER AVE, SUITE 108, SUPERIOR, WI 54880-5388
(906) 370-1668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5340
WI
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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