Individual
MRS. CHRISTINE ANN MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 LEILANIS LN, NORWICH, NY 13815-3540
(607) 337-1680
(607) 336-1380
Mailing address
7 MOUNT PLEASANT RD, BAINBRIDGE, NY 13733-2211
(607) 336-1380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R050209-1
NY
1041C0700X
Clinical Social Worker
R050209-1
NY
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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