Provider Demographics
NPI:1215688841
Name:ONAK, MATTHEW E (MA SPP, CMHC INTERN)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:E
Last Name:ONAK
Suffix:
Gender:M
Credentials:MA SPP, CMHC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12806 W FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:AZ - AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392
Mailing Address - Country:US
Mailing Address - Phone:760-889-0134
Mailing Address - Fax:
Practice Address - Street 1:10320 W MCDOWELL RD BUILDING
Practice Address - Street 2:BUILDING G SUITE 7022
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392
Practice Address - Country:US
Practice Address - Phone:760-889-0134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health