Individual provider · Type 1 NPI

Elicia Marie Mathis

Addiction (Substance Use Disorder) Counselor · Bartlett, TN

NPI number 1396355541 Active

Practice location

7556 US Highway 70
Bartlett, TN 38133-2686

Fax (574) 635-9228

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1396355541

Elicia Marie Mathis's National Provider Identifier is 1396355541, issued on Aug 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bartlett, TN. The record was last updated on Oct 22, 2021.