Individual provider · Type 1 NPI
Matthew PB Kornfeld, CAADC
Addiction (Substance Use Disorder) Counselor · Philadelphia, PA
NPI number
1952654832
Active
Practice location
9815 Roosevelt Blvd, Suite B
Philadelphia, PA 19114-1011
Fax (610) 889-0732
Mailing address
1440 Russell Rd
Paoli, PA 19301-1236
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 1952654832
Matthew PB Kornfeld, CAADC's National Provider Identifier is 1952654832, issued on Oct 17, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2012.