Individual
MR. MATTHEW THOMAS STILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 MARLTON PIKE E BLDG T, CHERRY HILL, NJ 08003-2150
(609) 458-3028
Mailing address
9510 AMHERST AVE APT 102, MARGATE CITY, NJ 08402-1074
(609) 458-3028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00201300
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
44SL05915100
NJ
Other
Enumeration date
08/04/2009
Last updated
05/19/2016
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