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Mrs. Kimberly Ruth Mattingly-cloer
Counselor in Statesville, North Carolina
NPI 1053040048

Kimberly Ruth Mattingly-cloer is a Counselor based in Statesville, NC. Kimberly Ruth Mattingly-cloer practices in Statesville, NC. The NPI Number for Kimberly Ruth Mattingly-cloer is 1053040048 and holds a License No. C014138 (North Carolina).

The current practice location address for Kimberly Ruth Mattingly-cloer is 1812 Davie Ave, Statesville, NC and can be reached out via phone at 704-450-8277.

Location: 1812 Davie Ave, Statesville, NC, 28625-9137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053040048
Provider Name
Kimberly Ruth Mattingly-cloer
Credential
Provider Entity Type
Individual
Gender
Female
Address
1812 Davie Ave, Statesville, NC, 28625-9137
Phone Number
704-450-8277
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01 01 PRIVATE PAY
institution
Provider Business Practice Location Address Details
Address
1812 Davie Ave
City
Statesville
State
North Carolina
Zip
28677-3524
Phone Number
704-450-8277
Fax Number
person
Provider Business Mailing Address Details
Address
1812 Davie Ave
City
Statesville
State
North Carolina
Zip
28677-3524
Phone Number
704-450-8277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C014138 (North Carolina)
Definition
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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