Doctor Name: | DR. DONALD C. MATTSON |
NPI Number: | 1770878282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, ATR, LPC |
License Number: | 6401012474 |
Business Practice Address: | 3215 Tower Ave Ste. 108 Superior, WI - 548805388 |
Business Phone Number: | 7157185606 |
Business Fax Number: | |
Mailing Address: | 3215 Tower Ave., Ste. 108 SUPERIOR |
State: | WI |
Postal Code: | 548805269 |
Phone Number: | 7157185606 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401012474 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |