NPI 1003570615

Matthew M Midkiff, LPCMHSP

Practitioner Professional Counselor Johnson City, TN

Practice location

Address: 109 W Watauga Ave, Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 467-3644
Mailing address: 1167 Spratlin Park Dr, Gray, TN 37615-6205

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 5599 (TN)

Other Counselor providers in Tennessee →

Registry record

NPI: 1003570615
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2021
Record last updated: 20 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.