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Individual
MR. JOHN RICHARD MATAKA
Active
Individual
MR. JOHN RICHARD MATAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C5651214
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M0412211519
CA
Other
Enumeration date
03/07/2007
Last updated
01/31/2020
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