Individual
DR. DONALD C. MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATR, LPC
Contact information
Practice address
3215 TOWER AVE, STE. 108, SUPERIOR, WI 54880-5388
(715) 718-5606
Mailing address
3215 TOWER AVE., STE. 108, SUPERIOR, WI 54880-5269
(715) 718-5606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401012474
MI
101YM0800X
Mental Health Counselor
Primary
5340-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780697078
—
MI
Enumeration date
06/13/2011
Last updated
09/25/2015
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