Individual provider · Type 1 NPI

Nickol Matallana

Mental Health Counselor · Sisters, OR

NPI number 1710725536 Active

Practice location

704 W Hood Ave Ste D
Sisters, OR 97759-1529

Mailing address

20014 Powers Rd
Bend, OR 97702-2132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710725536

Nickol Matallana's National Provider Identifier is 1710725536, issued on Jul 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sisters, OR. The record was last updated on Jul 16, 2024.