MISS KIMBERLEY MARIE MATTHEWS DRUG COUNSELOR NPI 1194232827

NPI Information

NPI: 1194232827
Provider Name: MISS KIMBERLEY MARIE MATTHEWS, DRUG COUNSELOR
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
117 POWER DR APT B
VALLEJO, CA
ZIP 94589
Phone: (707) 771-1704
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MISS Kimberley Marie Matthews, DRUG COUNSELOR is an addiction (substance use disorder) counselor in Vallejo, CA. MISS Kimberley Marie Matthews, DRUG COUNSELOR NPI is 1194232827. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

117 POWER DR APT B
VALLEJO, CA
ZIP 94589-418
Phone: (707) 771-1704

The enumeration date for this NPI number is 1/3/2018 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1228410416	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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