Individual
MATTHEW GIRARD KOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHP-T, CSAC
Contact information
Practice address
300 TURNER RD STE K, NORTH CHESTERFIELD, VA 23225-6431
(804) 330-0310
Mailing address
3616 PINEBROOK DR, RICHMOND, VA 23225-1216
(804) 814-6621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103661
VA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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