Individual
KRISTIN LEIGH MATAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 WILLIAMSON RD STE 411, MOORESVILLE, NC 28117-9227
(704) 360-0803
(704) 940-0869
Mailing address
150 SUNDOWN COVE DR, MOORESVILLE, NC 28117-9188
(704) 302-6974
(704) 940-0869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S11051
LCMHC
NC
Enumeration date
10/20/2014
Last updated
03/11/2024
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