Individual provider · Type 1 NPI

Mathew Sean Villines

Addiction (Substance Use Disorder) Counselor · Shawnee, OK

NPI number 1124736277 Active

Practice location

1010 E 45th St
Shawnee, OK 74804-2202

Mailing address

2132 Ideal St
Seminole, OK 74868-2140

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124736277

Mathew Sean Villines's National Provider Identifier is 1124736277, issued on Nov 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shawnee, OK. The record was last updated on Nov 8, 2022.