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Individual

MATTHEW AARON WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 AGNES AVE, SANTA MARIA, CA 93458-2838
(805) 457-3780
Mailing address
116 AGNES AVE, SANTA MARIA, CA 93458-2838
(805) 457-3780

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
175T00000X
Peer Specialist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205480563
TELECARE AGNES AVE.
CA
Enumeration date
03/16/2020
Last updated
08/29/2023
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