Matthew Soberalski
Matthew Soberalski is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Registered with an NPI since 2023.
- Years since qualifying
- 4
- In the registry since
- 2023
Practice location Address checks out
2100 Goshen RdFort Wayne, IN 46808-1493
Phone: (260) 471-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578279071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 27, 2023 |
| Last updated in NPPES | January 27, 2023 |
| Certification date | January 27, 2023 |
| Mailing address | 2621 E Jefferson St, Warsaw, IN 46580-3880 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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