Individual
MRS. AMANDA CATHERINE MATTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, CAP
Contact information
Practice address
3270 SUNTREE BLVD, SUITE 102C, MELBOURNE, FL 32940
(320) 593-0759
Mailing address
351 LAKE VICTORIA CIRCLE, MELBOURNE, FL 32940
(772) 475-6545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
07/21/2022
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