Individual
CRISTEN MATTEOCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HAMLIN BLVD STE B, INKSTER, MI 48141-2206
(734) 713-9500
Mailing address
24360 CHICAGO ST, DEARBORN, MI 48124-3105
(313) 377-6208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/03/2015
Last updated
09/08/2019
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