| Kimberlee Ilise Mattingley, BA, SUDCC | |
|
3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 | |
| (530) 621-4687 | |
| Not Available |
| Full Name | Kimberlee Ilise Mattingley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3974 Durock Rd Ste 205, Shingle Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912553702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10848 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberlee Ilise Mattingley, BA, SUDCC 3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 Ph: (530) 621-4687 | Kimberlee Ilise Mattingley, BA, SUDCC 3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 Ph: (530) 621-4687 |
Katie L Hunter, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3661 Ponderosa Rd, Shingle Springs, CA 95682 Phone: 530-344-8829 | |
Mrs. Lisa Woods, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3661 Ponderosa Rd, Shingle Springs, CA 95682 Phone: 530-677-2281 |