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General NPI Number Information
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NPI Number | 1225986409
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Entity Type | Organization
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Legal Business Name | CHRISTY MATTESON MS, LPC LLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 355004 E 750 RD
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City | CUSHING
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State | OK
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Zip | 74023-5269
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Country | US
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Telephone | 918-223-6796
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Fax |
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Provider Business Mailing Address
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Address Line | 355004 E 750 RD
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City | CUSHING
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State | OK
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Zip | 74023-5269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CHRISTY MATTESON
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Credential | MS, LPC
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Telephone | 918-223-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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