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Jacqueline Matacchiera
Professional Counselor in Mountain Lakes, New Jersey
NPI 1669957080

Jacqueline Matacchiera is a Professional Counselor based in Wayne, NJ and is specialized in Professional. Jacqueline Matacchiera practices in Mountain Lakes, NJ. The NPI Number for Jacqueline Matacchiera is 1669957080 and holds a License No. 37LC00279900 (New Jersey).

The current practice location address for Jacqueline Matacchiera is 420 Boulevard Ste 101, Mountain Lakes, NJ and can be reached out via phone at 973-988-0035.

Location: 420 Boulevard Ste 101, Mountain Lakes, NJ, 07470-3217
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Provider Profile Details
NPI Number
1669957080
Provider Name
Jacqueline Matacchiera
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 Boulevard Ste 101, Mountain Lakes, NJ, 07470-3217
Phone Number
973-988-0035
Fax Number
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 DO SERVE MEDICAID CLIENTS AS OF YET
institution
Provider Business Practice Location Address Details
Address
420 Boulevard Ste 101
City
State
Zip
07046-1733
Phone Number
973-988-0035
Fax Number
person
Provider Business Mailing Address Details
Address
420 Boulevard Ste 101
City
State
Zip
07046-1733
Phone Number
973-988-0035
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37PC00585900 (New Jersey)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37LC00279900 (New Jersey)
Definition
Definition to come...
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