Individual provider · Type 1 NPI

Matthew C. Dodge, PLMHP

Addiction (Substance Use Disorder) Counselor · Scottsbluff, NE

NPI number 1174737613 Active

Practice location

4110 Avenue D
Scottsbluff, NE 69361-4650

Fax (308) 635-7026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-328 (NE)

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

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About NPI 1174737613

Matthew C. Dodge, PLMHP's National Provider Identifier is 1174737613, issued on May 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Scottsbluff, NE. The record was last updated on Jul 8, 2007.