Individual
MATTHEW LOCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
Mailing address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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