Individual provider · Type 1 NPI

Andrea Mattingly, CSP.RN

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1790141059 Active

Practice location

2210 Tucker Station Rd
Louisville, KY 40299-4525

Call (502) 366-0705 Map

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1790141059

Andrea Mattingly, CSP.RN's National Provider Identifier is 1790141059, issued on Jan 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jan 2, 2016.