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Ms. Kelly L. Mattis, LPCC
Pastoral Counselor in Jamestown, North Dakota
NPI 1841429719

Kelly L. Mattis is a Pastoral Counselor based in Jamestown, ND and is specialized in Pastoral. Kelly L. Mattis practices in Jamestown, ND and has the professional credentials of LPCC. The NPI Number for Kelly L. Mattis is 1841429719 and holds a License No. 626-3-1-09-185 (North Dakota).

The current practice location address for Kelly L. Mattis is 520 3Rd St Nw, Jamestown, ND and can be reached out via phone at 701-253-6300 and via fax at 701-253-6400.

Location: 520 3Rd St Nw, Jamestown, ND, 58402-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841429719
Provider Name
Kelly L. Mattis
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
520 3Rd St Nw, Jamestown, ND, 58402-2055
Phone Number
701-253-6300
Fax Number
701-253-6400
Provider Enumeration Date
07/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 3Rd St Nw
City
Jamestown
State
North Dakota
Zip
58401-2968
Phone Number
701-253-6300
Fax Number
701-253-6400
person
Provider Business Mailing Address Details
Address
520 3Rd St Nw
City
Jamestown
State
North Dakota
Zip
58401-2968
Phone Number
701-253-6300
Fax Number
701-253-6400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
626-3-1-09-185 (North Dakota)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
626-3-1-09-185 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
626-3-1-09-185 (North Dakota)
Definition
Definition to come...
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