Individual
NICOLE MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 579-8681
Mailing address
13 VILLAGE WAY UNIT E5, VERNON, NJ 07462-3105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00722500
NJ
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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