Individual provider · Type 1 NPI

Matthew Jason Kotecki, BSHS

Mental Health Counselor · Benton Harbor, MI

NPI number 1629658380 Active

Practice location

1022 E Main St
Benton Harbor, MI 49022

Call (269) 962-0051 Map

Fax (269) 962-0123

Mailing address

13206 Taft Rd
Fruitport, MI 49415-9406

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629658380

Matthew Jason Kotecki, BSHS's National Provider Identifier is 1629658380, issued on Apr 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Benton Harbor, MI. The record was last updated on Apr 8, 2021.