Individual provider · Type 1 NPI
Rodney Dean Matilainen, L.A.D.C.
Addiction (Substance Use Disorder) Counselor · Scottsbluff, NE
NPI number
1861595126
Active
Practice location
4110 Ave. D
Scottsbluff, NE 69361
Mailing address
131 Mary Ln
Scottsbluff, NE 69361-3829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 498 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861595126
Rodney Dean Matilainen, L.A.D.C.'s National Provider Identifier is 1861595126, issued on Sep 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Scottsbluff, NE. The record was last updated on Jul 8, 2007.