Dennis Mark Matlock, RS1503
Dennis Mark Matlock, RS1503 is an Addiction (Substance Use Disorder) Counselor in Indio, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
83912 Avenue 45 Ste 9Indio, CA 92201-3338
Phone: (760) 347-0754
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1457490088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RS1503 |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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