Individual
KATE MATISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
608 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 215-2567
Mailing address
608 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 215-2567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3960
NC
Other
Enumeration date
05/22/2007
Last updated
11/02/2009
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