MEDICARE: MATTHEW ZELEDON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	125250	CA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770847451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW ZELEDON

Provider Business Mailing Address
First Line	:	925 MAIDU AVE
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-8600
Country	:	US
Telephone Number	:	530-265-1523
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 MAIDU AVE
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-8600
Country	:	US
Telephone Number	:	530-265-1523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	04/16/2025

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Directions to “ MATTHEW ZELEDON ” Practice Location

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