Individual
MR. MATT PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC-S
Contact information
Practice address
267 REGENCY RIDGE DR, DAYTON, OH 45459-4221
(937) 396-7077
Mailing address
267 REGENCY RIDGE DR, DAYTON, OH 45459-4221
(937) 776-7290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E6835
OH
101YM0800X
Mental Health Counselor
E6835
OH
101YP1600X
Pastoral Counselor
E6835
OH
101YP2500X
Professional Counselor
E6835
OH
106H00000X
Marriage & Family Therapist
E6835
OH
Other
Enumeration date
12/18/2006
Last updated
04/21/2021
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