Individual
MRS. JACQUELYN MICHELLE MATOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,NCC, LPC, CCTP
Contact information
Practice address
250 INSURANCE ST, SUITE 304, BEAVER, PA 15009-2760
(724) 371-6838
Mailing address
2512 ORCHARD ST, BEAVER FALLS, PA 15010-2373
(724) 622-5471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008541
PA
Other
Enumeration date
10/26/2015
Last updated
05/04/2016
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