Individual
KARISSA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, PLADC, LPCC
Contact information
Practice address
8610 BRENTWOOD DR STE 1, LA VISTA, NE 68128-3377
(402) 331-3232
(402) 331-1557
Mailing address
7590 ANDASOL ST, SAN DIEGO, CA 92126-1017
(858) 204-4136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10573
NE
101YM0800X
Mental Health Counselor
Primary
4825
CA
101YM0800X
Mental Health Counselor
4896
NE
Other
Enumeration date
06/29/2015
Last updated
04/23/2018
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