Individual provider · Type 1 NPI

Jason Carlos Edwin-Matos

Mental Health Counselor · Fairbanks, AK

NPI number 1407400807 Active

Practice location

1825 Marika Rd
Fairbanks, AK 99709-5521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407400807

Jason Carlos Edwin-Matos's National Provider Identifier is 1407400807, issued on Jul 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 25, 2019.