Individual
JEANNE NICOLE MATUCHESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HOLLAND AVE, BRADDOCK, PA 15104-1599
(412) 636-5708
(412) 636-5705
Mailing address
400 HOLLAND AVE, BRADDOCK, PA 15104-1599
(412) 636-5708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/04/2008
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