JASON STANLEY MATKOWSKI LAC NPI 1225064850

NPI Information

NPI: 1225064850
Provider Name: JASON STANLEY MATKOWSKI, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2003 SE WALTON BLVD
SUITE C
BENTONVILLE, AR
ZIP 72712
Phone: (479) 464-8081
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Jason Stanley Matkowski, LAC is a mental health counselor in Bentonville, AR. Jason Stanley Matkowski, LAC NPI is 1225064850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2003 SE WALTON BLVD
SUITE C
BENTONVILLE, AR
ZIP 72712-725
Phone: (479) 464-8081
Fax: (479) 464-0674

The enumeration date for this NPI number is 6/24/2006 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	A0307064	ARKANSAS	Yes
2	101YP2500X	Counselor	Professional	3480	OKLAHOMA	X

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: 4/28/2024

NPI Synchronization or Removal

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