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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None 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.