Organization
CHRISTY MATTESON MS, LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY MATTESON MS, LPC (COUNSELOR)
(918) 223-6796
Entity
Organization
Contact information
Practice address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 223-6796
Mailing address
355004 E 750 RD, CUSHING, OK 74023-5269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154691509
INDIVIDUAL
OK
05
—
200409240
—
OK
Enumeration date
03/21/2026
Last updated
03/21/2026
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