Individual
MATTHEW B KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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