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Matthew Ryan Washington
Mental Health Counselor in Vista, California
NPI 1225605124

Matthew Ryan Washington is a Mental Health Counselor based in Vista, CA and is specialized in Mental Health. Matthew Ryan Washington practices in Vista, CA. The NPI Number for Matthew Ryan Washington is 1225605124 and holds a License No. (California).

The current practice location address for Matthew Ryan Washington is 1032 Meadow Lake Dr, Vista, CA and can be reached out via phone at 760-630-4065.

Location: 1032 Meadow Lake Dr, Vista, CA, 92083-3101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225605124
Provider Name
Matthew Ryan Washington
Credential
Provider Entity Type
Individual
Gender
Male
Address
1032 Meadow Lake Dr, Vista, CA, 92083-3101
Phone Number
760-630-4065
Fax Number
Provider Enumeration Date
06/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336201490 05 CA
institution
Provider Business Practice Location Address Details
Address
1032 Meadow Lake Dr
City
Vista
State
California
Zip
92084-4619
Phone Number
760-630-4065
Fax Number
person
Provider Business Mailing Address Details
Address
1032 Meadow Lake Dr
City
Vista
State
California
Zip
92084-4619
Phone Number
760-630-4065
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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