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General NPI Number Information
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NPI Number | 1558041335
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Entity Type | Organization
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Legal Business Name | MATTERN COUNSELING, LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 2770 INDIAN RIVER BLVD STE 314-15
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City | VERO BEACH
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State | FL
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Zip | 32960-4299
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Country | US
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Telephone | 772-617-2276
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Fax | 772-569-9303
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Provider Business Mailing Address
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Address Line | 2770 INDIAN RIVER BLVD STE 314-15
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City | VERO BEACH
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State | FL
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Zip | 32960-4299
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Country | US
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Telephone | 772-617-2276
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Fax | 772-569-9303
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MS. KAREN PATRICIA MATTERN
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Credential | LCSW
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Telephone | 772-633-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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