| Jason Stanley Matkowski, LAC | |
|
2003 Se Walton Blvd, Suite C, Bentonville, AR 72712-3725 | |
| (479) 464-8081 | |
| (479) 464-0674 |
| Full Name | Jason Stanley Matkowski |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2003 Se Walton Blvd, Bentonville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225064850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A0307064 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | 3480 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Stanley Matkowski, LAC 4253 N Crossover Rd, Fayetteville, AR 72703-4593 Ph: (479) 521-5731 | Jason Stanley Matkowski, LAC 2003 Se Walton Blvd, Suite C, Bentonville, AR 72712-3725 Ph: (479) 464-8081 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |