Mattson, Donald C.
Mattson, Donald C. is an sole proprietor health care provider with primary practice located at 3215 Tower Ave Ste. 108, Superior WI 54880-5388. He recently has 2 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 / Mental Health is his primary health care specialty. Mattson, Donald C. can be contacted via phone (715) 718-5606.Contact Information
Primary practice address
3215 Tower Ave Ste. 108
Superior WI 54880-5388
Phone: (715) 718-5606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401012474 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5340-125 | Wisconsin |
Profile Details
| NPI number | 1770878282 |
|---|---|
| LBN Legal business name | Mattson, Donald C. |
| Credentials | PHD, ATR, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2011 |
| Last updated | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770878282 | NPPES |
| Michigan | MEDICAID | 1780697078 |
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