Kent Mattern, LPC
Counselor, Professional in Prescott Valley, AZ. Individual provider (NPI-1).
NPI number1265414387
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1265414387
- Entity type
- Individual (NPI-1)
- Name
- Kent Mattern
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC1983 | AZ | Yes |
Practice location
3345 N Windsong DrPrescott Valley, AZ 86314-2283
Phone 928-445-5211 · Fax 928-776-8484
Mailing address
642 Dameron DrPrescott, AZ 86301-2411
Phone 928-445-5211 · Fax 928-776-8484
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