Individual
MATTHEW MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15318 14TH AVENUE CT E, TACOMA, WA 98445-2496
(253) 324-3616
Mailing address
15318 14TH AVENUE CT E, TACOMA, WA 98445-2496
(253) 324-3583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61438772
WA
Other
Enumeration date
11/04/2018
Last updated
06/24/2025
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