Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MATTESON, MA, LADC
ActiveKAITLYN MATTESON, MA, LADC is a Counselor healthcare provider located in MAHTOMEDI, Minnesota. NPI 1699597351 is currently active in the NPPES registry. Verify at CMS.
Counselor · MAHTOMEDI, MN
Registration Details
- NPI Number
- 1699597351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2024 (1.8031934166179 yrs)
- Last Updated
- Oct 3, 2025
Practice Information
- Address
-
1614 MAHTOMEDI AVEMAHTOMEDI, MN, 551151909Browse MN providers · Browse ZIP 55115
- Phone
- 6126623989
- Fax
- 6125004852
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in MAHTOMEDI, MN
| Name | Credential | NPI |
|---|---|---|
| NANCY SKILBRED | — | 1861896102 |
| KELLY NORRIS | — | 1760063937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.