Individual
ANDREA CHRISTINE MATZYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 ENTERPRISE DR NW, WARREN, OH 44481-8706
(330) 787-0955
Mailing address
1719 N CARNEGIE AVE, NILES, OH 44446-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161947
OH
104100000X
Social Worker
Primary
S.1803026
OH
Other
Enumeration date
05/14/2020
Last updated
10/20/2020
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