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Richard Anthony Matkowski
Professional Counselor in Bridgeton, Missouri
NPI 1871072207

Richard Anthony Matkowski is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Richard Anthony Matkowski practices in Bridgeton, MO. The NPI Number for Richard Anthony Matkowski is 1871072207 and holds a License No. (Missouri).

The current practice location address for Richard Anthony Matkowski is 3165 Mckelvey Rd Ste 200, Bridgeton, MO and can be reached out via phone at 314-598-3992.

Location: 3165 Mckelvey Rd Ste 200, Bridgeton, MO, 63103-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871072207
Provider Name
Richard Anthony Matkowski
Credential
Provider Entity Type
Individual
Gender
Male
Address
3165 Mckelvey Rd Ste 200, Bridgeton, MO, 63103-2303
Phone Number
314-598-3992
Fax Number
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017041166 01 MO LPC
institution
Provider Business Practice Location Address Details
Address
3165 Mckelvey Rd Ste 200
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-598-3992
Fax Number
person
Provider Business Mailing Address Details
Address
3165 Mckelvey Rd Ste 200
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-598-3992
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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