Individual provider · Type 1 NPI

Mary Ann Matta, RN, SWT, CACR

Addiction (Substance Use Disorder) Counselor · Berkley, MI

NPI number 1356465132 Active

Practice location

2710 12 Mile Rd
Berkley, MI 48072-1630

Call (248) 543-1090 Map

Fax (248) 543-0017

Mailing address

6181 Dakota Cir
Bloomfield Hills, MI 48301-1565

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6803074335 (MI)

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

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About NPI 1356465132

Mary Ann Matta, RN, SWT, CACR's National Provider Identifier is 1356465132, issued on Mar 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkley, MI. The record was last updated on Jul 8, 2007.