Makiko Matsuoka
Counselor Professional Counselor
34 Dresser Rd
Scarborough
, Maine 04074-9767
Makiko Matsuoka
Counselor Professional Counselor
34 Dresser Rd
Scarborough
, Maine 04074-9767
(207) 907-9539
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About
Features
Specialties
- Counselor
- Professional Counselor
Languages spoken
- English
Location
First Address
- Makiko Matsuoka
- Po Box 6568
- Scarborough, ME
- Zip : 04070-6568
- Phone : (207) 907-9539
Second Address
- Makiko Matsuoka
- 34 Dresser Rd
- Scarborough, ME
- Zip : 04074-9767
- Phone : (207) 907-9539
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CC3223 | ME |
| N | 101YP2500X | Professional Counselor | XL2717 | ME |
National Provider Identifier
| NPI | 1003862160 |
|---|---|
| Provider Name | Makiko Matsuoka |
| First Address | Scarborough, ME 04070-6568 |
| Second Address | Scarborough, ME 04074-9767 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 29/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 098304 | ANTHEM LEGACY NUMBER (01) | ME |
| 431733799 | (05) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.