Individual provider · Type 1 NPI

Tamika L. Matlock, BSW, LPC

Counselor · Detroit, MI

NPI number 1003321357 Active

Practice location

1025 E Forest Ave
Detroit, MI 48207-1024

Fax (313) 833-5973

Mailing address

812 Lothrop Rd
Detroit, MI 48202-2736

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6802076257 (MI)
Counselor Primary 101Y00000X6401010407 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003321357

Tamika L. Matlock, BSW, LPC's National Provider Identifier is 1003321357, issued on Dec 8, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 8, 2017.