JASON CARLOS EDWIN-MATOS
NPI 1407400807
Counselor - Mental Health in Fairbanks, AK
Active since July 25, 2019
About Jason Carlos Edwin-matos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON CARLOS EDWIN-MATOS (NPI 1407400807) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1407400807
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON CARLOS EDWIN-MATOS
Location Address1825 MARIKA RDFairbanks, AK 99709-5521
Mailing Address1825 Marika RdFairbanks, AK 99709-5521
Phone(907) 459-4700
Sole ProprietorNo
Enumeration DateJuly 25, 2019
✔ NPI 1407400807 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1825 MARIKA RD, Fairbanks, AK 99709
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
1825 MARIKA RD, FCSA
FAIRBANKS, AK 99709
FAIRBANKS, AK 99709
Residential Treatment Facility, Emotionally Disturbed Children
1825 MARIKA RD
FAIRBANKS, AK 99709
FAIRBANKS, AK 99709
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407400807, enumerated as an "individual" on July 25, 2019.
The provider is located at 1825 MARIKA RD FAIRBANKS, AK 99709 and the phone number is (907) 459-4700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
