Individual provider · Type 1 NPI

Austin Ray Matthiessen

Counselor · Oklahoma City, OK

NPI number 1689345316 Active · reactivated Oct 18, 2021

Practice location

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X11897 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689345316

Austin Ray Matthiessen's National Provider Identifier is 1689345316, issued on Sep 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 27, 2024.