Individual
KRISTAL MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT CMHS MHP
Contact information
Practice address
203 SE PARK PLAZA DR, VANCOUVER, WA 98684-5886
(360) 798-2058
Mailing address
PO BOX 871183, VANCOUVER, WA 98687-1183
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC 00058674
WA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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