Individual
SIOBHAN MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 PERRY ST, TRENTON, NJ 08618-3968
(609) 394-8988
(609) 394-0023
Mailing address
132 PERRY ST, TRENTON, NJ 08618-3968
(609) 394-8988
(609) 394-0023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372331
—
NJ
01
—
96503-01-04
N.J. DEPT HUMAN SERVICES
NJ
Enumeration date
01/16/2014
Last updated
01/16/2014
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