Individual provider · Type 1 NPI
Keith William Matack Jr., MA
Mental Health Counselor · Levittown, PA
NPI number
1033979273
Active
Practice location
2 Jester Ln
Levittown, PA 19055-2320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1033979273
Keith William Matack Jr., MA's National Provider Identifier is 1033979273, issued on Mar 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Levittown, PA. The record was last updated on Mar 21, 2024.