Individual
MS. CHERYL LYNN MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 W MAIN ST, SUITE 202, NORTHVILLE, MI 48167-1586
(248) 347-6110
(248) 347-1120
Mailing address
24003 ELIZABETH LN, NOVI, MI 48374-3775
(248) 449-1631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801057355
MI
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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