Individual
DR. JASON FORREST MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
119 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2176
(636) 256-0600
(636) 256-0626
Mailing address
119 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2176
(636) 256-0600
(636) 256-0626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2001014823
MO
103T00000X
Psychologist
Primary
2006036655
MO
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
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