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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA MARIE MATTRAW, LMHC

Active Sole Proprietor

THERESA MARIE MATTRAW, LMHC is a Mental Health Counselor healthcare provider located in DEFUNIAK SPRINGS, Florida. NPI 1821248006 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · DEFUNIAK SPRINGS, FL

Registration Details

NPI Number
1821248006
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2008 (17.70426201864 yrs)
Last Updated
Jan 25, 2021
Licenses
IMH10240 (FL)
MH15685 (FL)
Sole Proprietor
Yes

Practice Information

Address
3686 US HIGHWAY 331 S
DEFUNIAK SPRINGS, FL, 324358463
Browse FL providers · Browse ZIP 32435
Phone
8508928045
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Social Worker
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in DEFUNIAK SPRINGS, FL

Name Credential NPI
VIDA L BRINSON LMHC 1730174384
JACQUELINE M GIBSON LMHC 1144216615
JOSEPH KIMBERL 1346341922
MR. JON M KINSEY M.S., L.M.H.C. 1770785917
MRS. PAMELA GAIL JONES LMHC 1902096233
MR. KENDALL LYNTON FIELDS PHD, LMHC 1871737635
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.