Individual provider · Type 1 NPI
Susan G. Mattice, LPC
Professional Counselor · Kalamazoo, MI
NPI number
1104452002
Active
Practice location
1030 Campbell Ave
Kalamazoo, MI 49006-3082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401005581 (MI) |
Professional Counselor: Definition to come...
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About NPI 1104452002
Susan G. Mattice, LPC's National Provider Identifier is 1104452002, issued on Mar 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalamazoo, MI. The record was last updated on Mar 23, 2020.