Individual provider · Type 1 NPI

Erick Matienzo

Mental Health Counselor · Stockton, CA

NPI number 1114481744 Active

Practice location

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114481744

Erick Matienzo's National Provider Identifier is 1114481744, issued on Jan 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jan 28, 2019.