Individual
MS. EMMA CAROLINE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
2500 HOLT RD, PADUCAH, KY 42001-8661
(270) 681-2469
(270) 721-4111
Mailing address
3515 FOREST CIR, PADUCAH, KY 42001-4434
(270) 519-5984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
246314
KY
Other
Enumeration date
06/03/2019
Last updated
09/20/2021
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