MR. Christopher Mattimore, CASAC

NPI #1205259868 in Medford, New York

Provider Information

NPI Number
1205259868
Entity Type
Individual
Name
MR. Christopher Mattimore, CASAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CASAC
Enumeration Date
Jan 31, 2014
Last Updated
Feb 7, 2014

Practice Location

Address
3251 ROUTE 112
Address 2
BLDG. 9, STE. 2
ZIP Code
11763-1446
Phone
(631) 451-6007

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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