Individual
JEFFREY EDWARD MATYAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
567 VAUXHALL EXT, SUITE 207, WATERFORD, CT 06385
(860) 912-3743
Mailing address
6 FILOSI RD, EAST LYME, CT 06333-1103
(860) 912-3743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001111
CT
101YM0800X
Mental Health Counselor
Primary
9119
CT
Other
Enumeration date
03/18/2015
Last updated
12/02/2025
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