Individual
JOSUE MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 459-8656
Mailing address
100 PARKER ST, LAWRENCE, MA 01843-1536
(978) 398-8498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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