Individual provider · Type 1 NPI

William Mattingly

Professional Counselor · Kirkwood, MO

NPI number 1407352115 Active

Practice location

12166 Old Big Bend Rd Ste 204
Kirkwood, MO 63122-6836

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2017041348 (MO)

Professional Counselor: Definition to come...

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About NPI 1407352115

William Mattingly's National Provider Identifier is 1407352115, issued on Apr 2, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kirkwood, MO. The record was last updated on Feb 21, 2022.