Individual provider · Type 1 NPI

Matt David Edmondson

Addiction (Substance Use Disorder) Counselor · Bakersfield, CA

NPI number 1720628951 Active

Practice location

708 Lincoln St
Bakersfield, CA 93305-3711

Call (661) 869-1795 Map

Fax (661) 869-1764

Mailing address

PO Box 3218
Bakersfield, CA 93385-3218

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRADT (CA)

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

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About NPI 1720628951

Matt David Edmondson's National Provider Identifier is 1720628951, issued on Jan 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bakersfield, CA. The record was last updated on Jan 15, 2020.