Individual
VANESSA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
187 WASHINGTON AVE, SUITE 2C, NUTLEY, NJ 07110-3935
(862) 201-9127
Mailing address
187 WASHINGTON AVE, SUITE 2C, NUTLEY, NJ 07110-3935
(862) 201-9127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00393800
NJ
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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