MATTESON BRICKNER RADT NPI 1437962040

NPI Information

  • NPI: 1437962040
  • Provider Name: MATTESON BRICKNER, RADT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1777 BUCKMAN SPRINGS RD
    CAMPO, CA
    ZIP 91906
  • Phone: (619) 478-5696

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NPI Details

Matteson Brickner, RADT is an addiction (substance use disorder) counselor in Campo, CA. Matteson Brickner, RADT NPI is 1437962040. 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:

1777 BUCKMAN SPRINGS RD
CAMPO, CA
ZIP 91906-022
Phone: (619) 478-5696
Fax: (619) 478-2404

The enumeration date for this NPI number is 1/28/2025 and was last updated on 1/28/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)R1597220125CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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