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Individual

CARISSA JO MATTHIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
210 W HIGH ST STE 1&2, BELLEFONTE, PA 16823-1302
(814) 231-0940
Mailing address
2205 S EAGLE VALLEY RD, JULIAN, PA 16844-9517

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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