Organization
JONATHAN MATTICE FAMILY THERAPY CORPORATION
Active
Other names
Jonathan Mattice Therapy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID MATTICE LMFT (CEO)
(719) 789-5307
Entity
Organization
Contact information
Practice address
2450 PERALTA BLVD STE 214, FREMONT, CA 94536-3826
(719) 789-5307
Mailing address
33688 VALLEY VIEW DR, EVERGREEN, CO 80439-7820
(707) 217-3672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
07/29/2025
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