What is Matthew Kowalczyk's NPI number?

The NPI number assigned to this healthcare provider is 1912663246, enumerated as a individual on November 10, 2021.

Where is the provider located?

The provider is located at 917 W WALNUT ST JOHNSON CITY, TN 37604 and the phone number is (423) 439-6464.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

MATTHEW B KOWALCZYK - NPI 1912663246 - Counselor in Johnson City, TN

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About Matthew B Kowalczyk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW B KOWALCZYK (NPI 1912663246) is an individual mental health provider in Johnson City, Tennessee and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1912663246

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMATTHEW B KOWALCZYK

Location Address917 W WALNUT STJohnson City, TN 37604-6527

Mailing Address917 W Walnut StJohnson City, TN 37604-6527

Phone(423) 439-6464

Sole ProprietorNo

Enumeration DateNovember 10, 2021

NPPES CertifiedNovember 10, 2021

✔ NPI 1912663246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

917 W WALNUT ST, Johnson City, TN 37604

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