Individual provider · Type 1 NPI
Keana Lee Matarese, KEANA MATARESE, RADT
Counselor · Escondido, CA
NPI number
1124858683
Active
Practice location
1341 N Escondido Blvd
Escondido, CA 92026-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 17796 (CA) |
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 1124858683
Keana Lee Matarese, KEANA MATARESE, RADT's National Provider Identifier is 1124858683, issued on Aug 7, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Escondido, CA. The record was last updated on Aug 7, 2024.