Individual provider · Type 1 NPI

Theresa Marie Mattraw, LMHC

Mental Health Counselor · Defuniak Springs, FL

NPI number 1821248006 Active

Practice location

3686 US Highway 331 S
Defuniak Springs, FL 32435-8463

Call (850) 892-8045 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XIMH10240 (FL)
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XMH15685 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1821248006

Theresa Marie Mattraw, LMHC's National Provider Identifier is 1821248006, issued on Sep 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Defuniak Springs, FL. The record was last updated on Jan 25, 2021.