Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW COLMAN MCCLUSKEY, RADT-1
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · PLACERVILLE, CA
Registration Details
- NPI Number
- 1043099971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2023 (2.5960136425619 yrs)
- Last Updated
- Sep 28, 2023
- License
-
R1514310723 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2844 COLOMA STPLACERVILLE, CA, 956674406Browse CA providers · Browse ZIP 95667
- Phone
- 5303339460
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PLACERVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT RYAN BALDWIN | CADC II | 1447383070 |
| MS. LAUREN ELIZABETH MINER | CADC II | 1235262635 |
| ELAINE MARIE CONNOR | MS | 1710101571 |
| MR. HENDRIK LUTE SCHANSTRA III | — | 1609092717 |
| SUZANNE T ANDERSON | MA | 1639375298 |
| DEENA LEE REYES | — | 1760682736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.