Individual
REBECCA MATANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 HICKORY RD APT 1B, MISHAWAKA, IN 46545-2403
(210) 237-9987
Mailing address
4560 HICKORY RD APT 1B, MISHAWAKA, IN 46545-2403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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