Individual
CHRISTINE MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
197 3 1/2 ST, CLAYTON, WI 54004-8932
(763) 300-3998
Mailing address
197 3 1/2 ST, CLAYTON, WI 54004-8932
(763) 300-3998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8767-125
WI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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