Individual
MS. LAKESHA NICOLE MATTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5607 KENTUCKY RD, BENTON, AR 72019-7058
(501) 258-9204
Mailing address
200 N MICHIGAN AVE, CHICAGO, IL 60601-5909
(312) 971-3457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701012780
VA
101YM0800X
Mental Health Counselor
Primary
73312
TX
Other
Enumeration date
05/27/2011
Last updated
06/03/2026
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