Individual
NICHOLE M MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
731 MAIN ST STE 122, MONROE, CT 06468-2872
(203) 261-7090
(888) 856-3413
Mailing address
52 PROSPECT ST APT 4, DERBY, CT 06418-2713
(860) 608-3351
(888) 856-3413
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3217
CT
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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