Mattis, Kelly L.

Mattis, Kelly L. is an individual health care provider with primary practice located at 520 3Rd St Nw , Jamestown ND 58401-2968. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mattis, Kelly L. can be contacted via phone (701) 253-6300.

Contact Information

Primary practice address
520 3Rd St Nw Jamestown ND 58401-2968
Phone: (701) 253-6300
Fax: (701) 253-6400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 626-3-1-09-185 North Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 626-3-1-09-185 North Dakota
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 626-3-1-09-185 North Dakota

Profile Details

NPI number 1841429719
LBN Legal business name Mattis, Kelly L.
Credentials L.P.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Jan 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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