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Ryan Peter Mattioli
Mental Health Counselor in Statesboro, Georgia
NPI 1659076073

Ryan Peter Mattioli is a Mental Health Counselor based in Metter, GA and is specialized in Mental Health. Ryan Peter Mattioli practices in Statesboro, GA. The NPI Number for Ryan Peter Mattioli is 1659076073 and holds a License No. 178.017880 (Georgia).

The current practice location address for Ryan Peter Mattioli is 332 S Main St, Statesboro, GA and can be reached out via phone at 912-243-9429.

Location: 332 S Main St, Statesboro, GA, 30439-6143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659076073
Provider Name
Ryan Peter Mattioli
Credential
Provider Entity Type
Individual
Gender
Male
Address
332 S Main St, Statesboro, GA, 30439-6143
Phone Number
912-243-9429
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
332 S Main St
City
Statesboro
State
Georgia
Zip
30458-0714
Phone Number
912-243-9429
Fax Number
person
Provider Business Mailing Address Details
Address
332 S Main St
City
Statesboro
State
Georgia
Zip
30458-0714
Phone Number
912-243-9429
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178.017880 (Illinois)
Definition
Definition to come...
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