Individual
MS. MARY ANN MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
2600 DENALI ST, SUITE 606, ANCHORAGE, AK 99503-2739
(907) 522-2010
Mailing address
PO BOX 230684, ANCHORAGE, AK 99523-0684
(907) 522-2010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
338
AK
101YP2500X
Professional Counselor
P8703006
AR
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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