Individual
KATHLEEN MATTIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
Mailing address
46 GREEN HILL RD, BELLINGHAM, WA 98229-7718
(360) 296-3975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60587139
WA
Other
Enumeration date
12/08/2016
Last updated
12/14/2016
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