Individual
MRS. JULIE MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6262
(314) 830-6257
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6262
(314) 830-6257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016008459
MO
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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