Individual
KATHLEEN MATKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, ATR-P
Contact information
Practice address
1545 KINGSWAY CT # 207, TRENTON, MI 48183-1952
(734) 307-0318
Mailing address
8610 JOANN DR, NEWPORT, MI 48166-9367
(734) 735-8772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023905
MI
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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