Individual provider · Type 1 NPI
Marilyn A. Matejka, L.A.D.C.
Addiction (Substance Use Disorder) Counselor · Jackson, MN
NPI number
1689740623
Active
Practice location
308 W Ashley St
Jackson, MN 56143-1568
Fax (507) 847-3206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300459 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1689740623
Marilyn A. Matejka, L.A.D.C.'s National Provider Identifier is 1689740623, issued on Nov 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MN. The record was last updated on Feb 28, 2008.