MATTHEW KIJAK NPI 1518606953

NPI Information

NPI: 1518606953
Provider Name: MATTHEW KIJAK
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1425 W FOOTHILL BLVD STE 310
UPLAND, CA
ZIP 91786
Phone: (877) 527-7227
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Matthew Kijak is a mental health counselor in Upland, CA. Matthew Kijak NPI is 1518606953. 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:

1425 W FOOTHILL BLVD STE 310
UPLAND, CA
ZIP 91786-007
Phone: (877) 527-7227

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/13/2022.

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	171M00000X	Case Manager/Care Coordinator			CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	ASW93903	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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