Individual
LUKE CHARLES MATTEUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MA, NCC, MAC
Contact information
Practice address
710C FOOTHILLS DR STE 104, NEWBERG, OR 97132-6124
(971) 732-3929
Mailing address
1009 SE EDWARDS DR, DUNDEE, OR 97115-9601
(971) 732-6614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NCC 265054
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC 507626
OR
101YP2500X
Professional Counselor
Primary
C3379
OR
Other
Enumeration date
09/18/2008
Last updated
12/28/2015
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