Individual provider · Type 1 NPI

Krista Matthews, TLLP, LLPC

Professional Counselor · St. Joseph, MI

NPI number 1114295201 Active

Practice location

1030 Miners Rd
St. Joseph, MI 49085-9625

Call (269) 408-1688 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X6401012458 (MI)
Professional Counselor Primary 101YP2500X6401012458 (MI)

Professional Counselor: Definition to come...

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About NPI 1114295201

Krista Matthews, TLLP, LLPC's National Provider Identifier is 1114295201, issued on Dec 5, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Joseph, MI. The record was last updated on Feb 22, 2021.