| Angela L. Christmas-mattison | |
|
4 Hubble St Pulaski NY 13142-4101 | |
| (315) 298-6535 | |
| (315) 298-6535 |
| Full Name | Angela L. Christmas-mattison |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Hubble St, Pulaski, New York |
| Authorized Official Name and Position | Angela L. Christmas-mattison (OWNER) |
| Authorized Official Contact | 3152986535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela L. Christmas-mattison Po Box 755 Pulaski NY 13142-0755 Ph: (315) 298-6535 | Angela L. Christmas-mattison 4 Hubble St Pulaski NY 13142-4101 Ph: (315) 298-6535 |
| NPI Number | 1376901835 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376901835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Breakwaters Mental Health Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3043 State Route 13, Pulaski, NY 13142 Phone: 315-440-6906 |