Individual
AMY MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 MERAMEC STATION RD, MANCHESTER, MO 63021-5550
(314) 266-6162
Mailing address
625 MERAMEC STATION RD, MANCHESTER, MO 63021-5550
(314) 802-8805
(314) 255-1852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011024387
MO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/21/2015
Last updated
03/13/2025
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