Matt Keck, MFT

Individual provider Active NPI Marriage & Family Therapist · Montara, CA

NPI 1144360488 · NPPES record last updated Feb 3, 2025

Key facts

NPI
1144360488
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
1400 Temple St.
Montara, CA 94037
Phone
(650) 556-4565
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

1400 Temple St.
Montara, CA 94037

Mailing address

PO Box 371420
Montara, CA 94037-1420
Phone (650) 556-4565

Other providers in Montara, CA

All providers in Montara, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.