Individual provider · Type 1 NPI
Matthew David Pentkowski, LAADC
Addiction (Substance Use Disorder) Counselor · Newport Beach, CA
NPI number
1184414534
Active
Practice location
336 Canal St
Newport Beach, CA 92663-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LR10290623 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184414534
Matthew David Pentkowski, LAADC's National Provider Identifier is 1184414534, issued on May 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport Beach, CA. The record was last updated on May 27, 2025.