Jonathan Mattice Family Therapy Corporation

NPI #1750277430 in Evergreen, Colorado

Provider Information

NPI Number: 1750277430
Entity Type: Organization
Organization Name: Jonathan Mattice Family Therapy Corporation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 17, 2025
Last Updated: Jun 17, 2025

Practice Location

Address: 33688 VALLEY VIEW DR
City: Evergreen
State: Colorado
ZIP Code: 80439-7820
Phone: (707) 217-3672

Authorized Official

Name: MR. JONATHAN DAVID MATTICE, LMFT
Title: MARRIAGE AND FAMILY THERAPIST
Phone: (719) 789-5307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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