Individual
DR. ORETHEA YONTONNA MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M., L.C.A.D.C.
Contact information
Practice address
7480 CATTERICK CT, WINDSOR MILL, MD 21244-5600
(443) 226-2838
Mailing address
7480 CATTERICK CT, WINDSOR MILL, MD 21244-5600
(443) 226-2838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA346
MD
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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