Individual provider · Type 1 NPI

Mary Matkin, LPC, LADC

Addiction (Substance Use Disorder) Counselor · Sand Springs, OK

NPI number 1619251360 Active

Practice location

2727 S 137th West Ave
Sand Springs, OK 74063-5017

Call (918) 245-0231 Map

Fax (918) 241-5031

Mailing address

PO Box 1101
Tulsa, OK 74101-1101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X125 (OK)
Professional Counselor 101YP2500X2027 (OK)

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

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About NPI 1619251360

Mary Matkin, LPC, LADC's National Provider Identifier is 1619251360, issued on Sep 29, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sand Springs, OK. The record was last updated on Sep 29, 2011.