Individual provider · Type 1 NPI

Matthew Longfellow

Addiction (Substance Use Disorder) Counselor · Charlestown, IN

NPI number 1194182675 Active

Practice location

7509 Charlestown Pike
Charlestown, IN 47111-9623

Fax (812) 256-4415

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (IN)

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

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About NPI 1194182675

Matthew Longfellow's National Provider Identifier is 1194182675, issued on Jan 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlestown, IN. The record was last updated on Jan 28, 2016.