Individual
MATTHEW LICHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 PASSAIC AVE STE 365, CLIFTON, NJ 07012-1804
(201) 306-6699
Mailing address
154 CAMBRIDGE CT, CLIFTON, NJ 07014-1372
(201) 306-6699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00494700
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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