Amanda Catherine Mattick, MA, LMHC, CAP
Counselor, Addiction (Substance Use Disorder) in Melbourne, FL. Individual provider (NPI-1).
NPI number1376909796
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1376909796
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Catherine Mattick
- Credential
- MA, LMHC, CAP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3270 Suntree BlvdSuite 102c
Melbourne, FL 32940
Phone 320-593-0759
Mailing address
351 Lake Victoria CircleMelbourne, FL 32940
Phone 772-475-6545
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