Individual provider · Type 1 NPI
Matilda Commodore
Mental Health Counselor · Westampton, NJ
NPI number
1366085987
Active
Practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1366085987
Matilda Commodore's National Provider Identifier is 1366085987, issued on Oct 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Oct 26, 2019.