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

MS. KELLY L. MATTIS, L.P.C.C.

Active

MS. KELLY L. MATTIS, L.P.C.C. is a Counselor healthcare provider located in JAMESTOWN, North Dakota. NPI 1841429719 is currently active in the NPPES registry. Verify at CMS.

Counselor · JAMESTOWN, ND

Registration Details

NPI Number
1841429719
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2009 (17.066010156834 yrs)
Last Updated
Jan 29, 2015
Licenses
626-3-1-09-185 (ND)
626-3-1-09-185 (ND)
626-3-1-09-185 (ND)

Practice Information

Address
520 3RD ST NW
JAMESTOWN, ND, 584012968
Browse ND providers · Browse ZIP 58401
Phone
7012536300
Fax
7012536400
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Pastoral Counselor

Other Counselor Providers in JAMESTOWN, ND

Name Credential NPI
BARBARA K STANTON PHD 1518980846
LAURIE HAGEN LSW 1881051928
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.