Christine Mattila, MS, LPC
Individual provider Active NPI Mental Health Counselor · Clayton, WI
NPI 1366267643 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1366267643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8767-125 (WI)
- Practice address
- 197 3 1/2 St
Clayton, WI 54004-8932 - Phone
- (763) 300-3998
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8767-125 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8767-125 | WI | Yes |
Addresses
Primary practice location
197 3 1/2 St
Clayton, WI 54004-8932
Mailing address
197 3 1/2 St
Clayton, WI 54004-8932
Phone (763) 300-3998
Other providers in Clayton, WI
- Deborah Lee Hall
- Taylor Luke
- Christi Kaye McKusick
- School District of Clayton
- Kerri Lynn Slate
- Jenna Lynn Wolf
All providers in Clayton, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.