Individual provider · Type 1 NPI
Nicholas Jacob Matalik
Professional Counselor · Indiana, PA
NPI number
1649860909
Active · reactivated Feb 26, 2021
Practice location
647 Philadelphia St Ste 303
Indiana, PA 15701-3923
Mailing address
408 Elm St
Indiana, PA 15701-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1649860909
Nicholas Jacob Matalik's National Provider Identifier is 1649860909, issued on Jan 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Indiana, PA. The record was last updated on Feb 26, 2021.