Individual provider · Type 1 NPI

Christine Ann Mattingly, LCSW

Addiction (Substance Use Disorder) Counselor · Norwich, NY

NPI number 1386718567 Active

Practice location

105 Leilanis Ln
Norwich, NY 13815-3540

Fax (607) 336-1380

Mailing address

7 Mount Pleasant Rd
Bainbridge, NY 13733-2211

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR050209-1 (NY)
Clinical Social Worker 1041C0700XR050209-1 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386718567

Christine Ann Mattingly, LCSW's National Provider Identifier is 1386718567, issued on Nov 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norwich, NY. The record was last updated on Sep 11, 2025.