Individual
MR. MATTHEW THOMAS WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 STULTS RD STE 137, DAYTON, NJ 08810-1549
(732) 808-2725
Mailing address
12 STULTS RD STE 137, DAYTON, NJ 08810-1549
(732) 808-2725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NJ
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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