Organization · Type 2 NPI

Jonathan Mattice Family Therapy Corporation

Mental Health Clinic/Center (Including Community Mental Health Center) · Evergreen, CO

NPI number 1750277430 Active

Practice location

33688 Valley View Dr
Evergreen, CO 80439-7820

Call (707) 217-3672 Map

Other practice locations

2450 Peralta Blvd Ste 214, Fremont, CA 94536-3826 · (719) 789-5307

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1750277430
Entity type: Organization (Type 2)
Issued: Jun 17, 2025
Last updated: Jun 17, 2025
Status: Active

Other names

Jonathan Mattice Therapy Corporation · doing business as
Jonathan Mattice Family Therapy L.l.c. · former legal business name
Jonathan Mattice Family Therapy Corporation · other name

Authorized official

Mr. Jonathan David Mattice, LMFT
Marriage and Family Therapist
(719) 789-5307

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About NPI 1750277430

Jonathan Mattice Family Therapy Corporation's National Provider Identifier is 1750277430, issued on Jun 17, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Evergreen, CO. The record was last updated on Jun 17, 2025.