| NPI | 1528170008 |
|---|---|
| Professional Name | GREGORY J MATTUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60596191) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0126111) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-11-04 |