Individual
CHRISTY MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
Mailing address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
07458
OK
101YP2500X
Professional Counselor
7458
OK
Other
Enumeration date
01/03/2012
Last updated
10/06/2024
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