Jacqueline Matacchiera
Counselor, Professional in Mountain Lakes, New Jersey
1669957080- Practice location
- 420 Boulevard Ste 101, Mountain Lakes, NJ 07046-1733
- Phone
- 973-988-0035
- Fax
- —
- Last updated
- October 2, 2018
Jacqueline Matacchiera is a Counselor, Professional based in Mountain Lakes, NJ. Jacqueline Matacchiera practices in Mountain Lakes, NJ. The NPI Number for Jacqueline Matacchiera is 1669957080 and holds a License No. 37LC00279900 (NJ). The current practice location address for Jacqueline Matacchiera is 420 Boulevard Ste 101, Mountain Lakes, NJ 07046-1733 and can be reached out via phone at 973-988-0035.
Provider Profile Details
- NPI Number
- 1669957080
- Provider Name
- Jacqueline Matacchiera
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 420 Boulevard Ste 101, Mountain Lakes, NJ 07046-1733
- Phone Number
- 973-988-0035
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2018
- Last Update Date
- October 2, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Boulevard Ste 101
Mountain Lakes, NJ 07046-1733 - City
- Mountain Lakes
- State
- New Jersey
- Zip
- 07046-1733
- Phone Number
- 973-988-0035
Provider Business Mailing Address Details
- Address
- 40 Gates Pl
Wayne, NJ 07470-3217 - City
- Wayne
- State
- NJ
- Zip
- 07470-3217
- Phone Number
- 201-724-1190
License Information
- License Number (1)
- 37LC00279900
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 37PC00585900
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacqueline Matacchiera?
The NPI number of Jacqueline Matacchiera is 1669957080. It was assigned on October 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Jacqueline Matacchiera?
Jacqueline Matacchiera is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37LC00279900.
Where does Jacqueline Matacchiera practice?
The practice location is 420 Boulevard Ste 101, Mountain Lakes, NJ 07046-1733. The office can be reached at 973-988-0035 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669957080 directly on the NPPES registry website.