| Jonathan Mattice Family Therapy Corporation | |
|
2450 Peralta Blvd Ste 214 Fremont CA 94536-3826 | |
| (719) 789-5307 | |
| Not Available |
| Full Name | Jonathan Mattice Family Therapy Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2450 Peralta Blvd Ste 214, Fremont, California |
| Authorized Official Name and Position | Jonathan David Mattice (CEO) |
| Authorized Official Contact | 7197895307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Mattice Family Therapy Corporation 33688 Valley View Dr Evergreen CO 80439-7820 Ph: (707) 217-3672 | Jonathan Mattice Family Therapy Corporation 2450 Peralta Blvd Ste 214 Fremont CA 94536-3826 Ph: (719) 789-5307 |
| NPI Number | 1689447716 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689447716 | NPI | - | NPPES |
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