Individual provider · NPI-1

Olivia Mattocks

Counselor · Streetsboro, OH

NPI number1760095111
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1760095111
Entity type
Individual (NPI-1)
Name
Olivia Mattocks
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2020
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

9217 State Route 43 Ste 220
Streetsboro, OH 44241-5371

Phone 330-422-9005

Mailing address

37 N Pershing Ave
Akron, OH 44313-6229

Phone 330-608-6738

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