Individual
MR. PAUL KENNETH MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.ED., L.C.P.C.
Contact information
Practice address
440 FOREST AVE, PORTLAND, ME 04101-2015
(207) 753-0135
Mailing address
243 FICKETT RD, POWNAL, ME 04069-6157
(207) 688-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC966
ME
Other
Enumeration date
02/14/2007
Last updated
07/21/2022
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