Individual
MICHAEL DE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6401
Mailing address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NJ
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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