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Individual
HARRIETT MATTHEWS
Active
Individual
HARRIETT MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070726
MASTER PROVIDER NUMBER
CA
01
—
070753
MASTER PROVIDER NO
CA
01
—
0726
DRUG M/CAL BILLING NUM
CA
01
—
0753
DRUG-MEDI-CAL NO
CA
01
—
07557
DMC ADOL BRENTWOOD
CA
01
—
56636
STAFF ID NUMBER
CA
Enumeration date
05/03/2007
Last updated
02/05/2008
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