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Individual
MATTHEW KEVIN KNIFONG
Active
Individual
MATTHEW KEVIN KNIFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10966
CA
Other
Enumeration date
07/21/2015
Last updated
06/16/2025
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