Individual
MATTHEW JAMES MACCHIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A, LCAS-A, NCC
Contact information
Practice address
602 WYNDHAM DR, FUQUAY VARINA, NC 27526-7780
(252) 375-9481
Mailing address
602 WYNDHAM DR, FUQUAY VARINA, NC 27526-7780
(252) 375-9481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24979
NC
101YP2500X
Professional Counselor
Primary
A14986
NC
Other
Enumeration date
12/28/2019
Last updated
09/30/2021
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