Kathleen Mattix
Counselor, Addiction (Substance Use Disorder) in Burlington, WA. Individual provider (NPI-1).
NPI number1982148078
StatusActive
Last updated in NPPESDec 14, 2016
Details
- NPI
- 1982148078
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Mattix
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2016
- Last updated
- Dec 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CO60587139 | WA | Yes |
Practice location
614 Peterson RdBurlington, WA 98233-2606
Phone 360-757-0131
Mailing address
46 Green Hill RdBellingham, WA 98229-7718
Phone 360-296-3975
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