Healthcare Provider Details

I. General information

NPI: 1770407108
Provider Name (Legal Business Name): JULIA MATAMOROS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MAIN ST STE 13
FRISCO CO
80443-5487
US

IV. Provider business mailing address

35 W MAIN ST UNIT 1028
FRISCO CO
80443-6655
US

V. Phone/Fax

Practice location:
  • Phone: 847-363-4254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIA MATAMOROS
Title or Position: COUNSELOR
Credential: LPC
Phone: 847-363-4254