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NPI Code Detail

MEDICARE: JULIE KOWALESKI MATTICE

MEDICARE:   JULIE KOWALESKI MATTICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNC

General Provider Information

NPI Number : 1497610703
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KOWALESKI MATTICE
Provider Business Mailing Address
First Line : PO BOX 1028
Second Line :
City : YANCEYVILLE
State : NC
Zip : 27379-1028
Country : US
Telephone Number : 336-459-0884
Fax Number :
Provider Business Practice Location Address
First Line : 38 WEST MAIN ST.
Second Line :
City : YANCEYVILLE
State : NC
Zip : 27379
Country : US
Telephone Number : 336-459-0884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 03/02/2026

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Directions to “ JULIE KOWALESKI MATTICE ” Practice Location

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