Individual provider · Type 1 NPI
Matthew Friend Ausfahl
Addiction (Substance Use Disorder) Counselor · Vallejo, CA
NPI number
1316477664
Active
Practice location
1628 Broadway St Ste A
Vallejo, CA 94590-2405
Mailing address
2955 Santos Ln Apt 206
Walnut Creek, CA 94597-7548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316477664
Matthew Friend Ausfahl's National Provider Identifier is 1316477664, issued on Jun 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Jun 16, 2018.