Individual provider · Type 1 NPI

Jill Marie Mattern

Addiction (Substance Use Disorder) Counselor · Ukiah, CA

NPI number 1669514253 Active

Practice location

201 Brush St
Ukiah, CA 95482-3424

Call (707) 462-6290 Map

Fax (707) 468-6427

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Obstetrics & Gynecology Physician 207V00000XA78277 (CA)
Obstetrics & Gynecology Physician 207V00000X242578-1 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14753 (CA)

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

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About NPI 1669514253

Jill Marie Mattern's National Provider Identifier is 1669514253, issued on Feb 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ukiah, CA. The record was last updated on Feb 9, 2023.