Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. PHYLLIS MARIE MATICHAK, LCADC PENDING

Active

MS. PHYLLIS MARIE MATICHAK, LCADC PENDING is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CEDAR KNOLLS, New Jersey. NPI 1659531242 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · CEDAR KNOLLS, NJ

Registration Details

NPI Number: 1659531242
Provider Type: Individual
Gender: Female
NPI Issued: Jun 17, 2008 (18.01422725572 yrs)
Last Updated: Jun 17, 2008
Licenses: LCADC PENDING (NJ)

NOT LICENSED (NJ)

Practice Information

Address: 100 E HANOVER AVE FL 1

SAINT CLARE'S BEHAVIORAL HEALTH CENTER

CEDAR KNOLLS, NJ, 079272020
Browse NJ providers · Browse ZIP 07927
Phone: 9734012170
Fax: 9734012183
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X
Additional Specialty: Mental Health Counselor

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.