Individual provider · Type 1 NPI

Jesiqua Renee Matyas

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1699554451 Active

Practice location

902 Pine St
Everett, WA 98201-1403

Mailing address

7440 W Marginal Way S
Seattle, WA 98108-4141

Specialties and licenses

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

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

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About NPI 1699554451

Jesiqua Renee Matyas's National Provider Identifier is 1699554451, issued on Sep 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Sep 21, 2023.