Individual
SHAYLA MATTESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2427
(860) 970-8639
Mailing address
35 STONY BROOK DR, SUFFIELD, CT 06078-2372
(860) 466-9754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/11/2023
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