IndividualActive
Brent Matheson
NPI 1629786546 · Mental Health Counselor · Willimantic, CT
Provider details
- NPI number
- 1629786546
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1310 Main St
Willimantic, CT 06226-1910
Phone: (860) 456-7200
Fax: (860) 731-5536
Approximate (ZIP-level) locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2022-11-09
- Last updated
- 2022-11-09
- Certified
- 2022-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.