Kimberlee Ilise Mattingley, BA, SUDCC
Kimberlee Ilise Mattingley, BA, SUDCC is an Addiction (Substance Use Disorder) Counselor in Shingle Springs, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
What do these letters mean?
- BA — Bachelor of Arts
- An undergraduate arts degree.
Practice location Address checks out
3974 Durock Rd Ste 205Shingle Springs, CA 95682-8568
Phone: (530) 621-4687
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 10848 (CA) |
|---|
Record details
| NPI number | 1912553702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BA , SUDCC |
| Sole proprietor | No |
| NPI enumerated | August 16, 2019 |
| Last updated in NPPES | October 28, 2022 |
| Certification date | October 28, 2022 |