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William Mattingly
Professional Counselor in Kirkwood, Missouri
NPI 1407352115

William Mattingly is a Professional Counselor based in Kirkwood, MO and is specialized in Professional. William Mattingly practices in Kirkwood, MO. The NPI Number for William Mattingly is 1407352115 and holds a License No. 2017041348 (Missouri).

The current practice location address for William Mattingly is 12166 Old Big Bend Rd Ste 204, Kirkwood, MO and can be reached out via phone at 314-822-8888.

Location: 12166 Old Big Bend Rd Ste 204, Kirkwood, MO, 63122-6836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407352115
Provider Name
William Mattingly
Credential
Provider Entity Type
Individual
Gender
Male
Address
12166 Old Big Bend Rd Ste 204, Kirkwood, MO, 63122-6836
Phone Number
314-822-8888
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12166 Old Big Bend Rd Ste 204
City
Kirkwood
State
Missouri
Zip
63122-6836
Phone Number
314-822-8888
Fax Number
person
Provider Business Mailing Address Details
Address
12166 Old Big Bend Rd Ste 204
City
Kirkwood
State
Missouri
Zip
63122-6836
Phone Number
314-822-8888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2017041348 (Missouri)
Definition
Definition to come...
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