Healthcare Provider Details

I. General information

NPI: 1346558335
Provider Name (Legal Business Name): MR. MATTHEW PETER GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SPRINGFIELD DR STE 175
CHICO CA
95928-5398
US

IV. Provider business mailing address

821 NORTHGRAVES AVE
CHICO CA
95928-6929
US

V. Phone/Fax

Practice location:
  • Phone: 530-781-1440
  • Fax:
Mailing address:
  • Phone: 530-828-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: