SearchFlorida101YM0800X

Theresa Mattraw, LMHC

NPI 1821248006 · on the registry since 2008 · sole proprietor

Practice

Address
3686 Us Highway 331 S
Defuniak Springs, FL 32435
Phone
(850) 892-8045
Organisation at this address
Chautauqua Offices Of Psychotherapy And Evaluation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida