Individual
CARMENIA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(866) 452-5273
Mailing address
4306 SANTO TOMAS DR APT D, LOS ANGELES, CA 90008-3044
(818) 619-4752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
04/23/2024
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