Individual
CLARISSA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC, LPCC, LSW
Contact information
Practice address
710 CLEVELAND AVE, FREMONT, OH 43420-3224
(419) 334-6619
(419) 334-6663
Mailing address
715 S TAFT AVE, FREMONT, OH 43420-3237
(419) 334-6619
(419) 334-6663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0500480
OH
Other
Enumeration date
03/21/2011
Last updated
05/13/2024
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