Provider Demographics
NPI:1376282848
Name:MATSON, BRYAN (LPC)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:
Last Name:MATSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9475 BRIAR VILLAGE PT STE 320
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7905
Mailing Address - Country:US
Mailing Address - Phone:713-396-6778
Mailing Address - Fax:
Practice Address - Street 1:9475 BRIAR VILLAGE PT STE 320
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7905
Practice Address - Country:US
Practice Address - Phone:713-396-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health