Stephen J Mattern is a Counselor in Peoria, Illinois. Stephen J Mattern practices all healthcare services and medical treatments related to Counselor. The NPI Number for Stephen J Mattern is 1689777260. The last update date is 2007-07-08.
Stephen J Mattern's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622 and fax number 3096926952. The mailing address for Stephen J Mattern is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen J Mattern |
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Address | 6615 N Big Hollow Rd, Peoria, Illinois |
Phone Number | 3096926622 |
Fax Number | 3096926952 |
Sole Proprietor | N |
Credentials | MA LCPC |
NPI Number Detail
NPI Number | 1689777260 |
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Provider Enumeration Date | 2006-09-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6615 N Big Hollow Rd |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616152451 |
Phone Number | 3096926622 |
Fax Number | 3096926952 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Stephen J Mattern by the Centers for Medicare & Medicaid Services?
The Stephen J Mattern has been issued the NPI (National Provider Identifier) 1689777260. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen J Mattern's physical address?
The Stephen J Mattern is physically located at 6615 N Big Hollow Rd, in the city of Peoria, IL, with the postal code 616152451.
What is Stephen J Mattern's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen J Mattern's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
When did the Stephen J Mattern receive its 1689777260?
The Stephen J Mattern was issued its 1689777260 on 2006-09-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Stephen J Mattern, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen J Mattern, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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