Kimberlee Ilise Mattingley BA, AA, SUDRC

  • NPI 1912553702
According to our database, the NPI number for Kimberlee Ilise Mattingley BA, AA, SUDRC is 1912553702 and activated since 4 years ago. Kimberlee Ilise Mattingley BA, AA, SUDRC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2844 Coloma St, Placerville, CA 95667. You can also contact Kimberlee Ilise Mattingley BA, AA, SUDRC via telephone number is (530) 644-3758. Provider NPI information was last updated on 06/23/2020.

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Overview of Kimberlee Ilise Mattingley BA, AA, SUDRC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/16/2019
  • Last updated: 06/23/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 10848
  • License State: CA

Provider Mailing Address

  • Address: Po Box 586
    Camino, CA 95709
  • Phone: 530-644-3758
  • Fax: 530-644-3782

Provider Practice Location

  • Address: 2844 Coloma St
    Placerville, CA 95667
  • Phone: 530-644-3758
  • Fax: 530-644-3782

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kimberlee Ilise Mattingley BA, AA, SUDRC?
  • A: The npi number for Kimberlee Ilise Mattingley BA, AA, SUDRC is 1912553702.
  • Q: What are Kimberlee Ilise Mattingley BA, AA, SUDRC's specialties?
  • A: Kimberlee Ilise Mattingley BA, AA, SUDRC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Kimberlee Ilise Mattingley BA, AA, SUDRC?
  • A: The medical license number for Kimberlee Ilise Mattingley BA, AA, SUDRC is 10848 and issued in CA in USA.
  • Q: Where is Kimberlee Ilise Mattingley BA, AA, SUDRC practice location?
  • A: Kimberlee Ilise Mattingley BA, AA, SUDRC is practicing at 2844 Coloma St, Placerville, CA 95667.
  • Q: How to contact Kimberlee Ilise Mattingley BA, AA, SUDRC?
  • A: You can contact Kimberlee Ilise Mattingley BA, AA, SUDRC via 530-644-3758.