person
Mr. John Richard Mataka, RAS
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1821128661

John Richard Mataka is an Addiction (Substance Use Disorder) Counselor based in Patterson, CA and is specialized in Addiction (Substance Use Disorder). John Richard Mataka practices in Ceres, CA and has the professional credentials of RAS. The NPI Number for John Richard Mataka is 1821128661 and holds a License No. C5651214 (California).

The current practice location address for John Richard Mataka is 1904 Richland Ave Bldg F, Ceres, CA and can be reached out via phone at 209-525-7411 and via fax at 209-541-2083.

Location: 1904 Richland Ave Bldg F, Ceres, CA, 95363
person
Provider Profile Details
NPI Number
1821128661
Provider Name
John Richard Mataka
Credential
RAS
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave Bldg F, Ceres, CA, 95363
Phone Number
209-525-7411
Fax Number
209-541-2083
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave Bldg F
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
209-541-2083
person
Provider Business Mailing Address Details
Address
1904 Richland Ave Bldg F
City
State
Zip
95307-4562
Phone Number
209-525-7411
Fax Number
209-541-2083
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C5651214 (California)
Definition
Definition to come...
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