MATTHEW KEVIN KNIFONG

SACRAMENTO, CA
NPI1992180871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  10966)
Enumeration Date2015-07-21
Last Update Date2025-06-16
Business Address
MATTHEW KEVIN KNIFONG SUDCC
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-223-7178
Mailing Address
MATTHEW KEVIN KNIFONG SUDCC
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-223-7178
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