Individual
RYAN PETER MATTIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 S MAIN ST, STATESBORO, GA 30458-0714
(912) 243-9429
Mailing address
72006 GA HIGHWAY 46 E # C-13, METTER, GA 30439-6143
(312) 483-8680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.017880
IL
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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