Individual provider · Type 1 NPI

Ethan Matson

Mental Health Counselor · Durant, OK

NPI number 1073854071 Active

Practice location

1602 Timberline Dr
Durant, OK 74701-2339

Call (580) 916-8604 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073854071

Ethan Matson's National Provider Identifier is 1073854071, issued on Mar 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Mar 15, 2013.