Organization
MATTESON COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN C MATTESON LCSW (DIRECTOR)
(856) 223-1571
Entity
Organization
Contact information
Practice address
4 GAZELL LN, MULLICA HILL, NJ 08062-4752
(856) 223-1571
(856) 223-1510
Mailing address
4 GAZELL LN, MULLICA HILL, NJ 08062-4752
(856) 223-1571
(856) 223-1510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05248200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162213
—
NJ
Enumeration date
01/28/2008
Last updated
08/12/2008
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