Individual provider · Type 1 NPI
Luke Charles Matteucci, MS, MA, NCC, MAC
Professional Counselor · Newberg, OR
NPI number
1396994927
Active
Practice location
710C Foothills Dr Ste 104
Newberg, OR 97132-6124
Mailing address
1009 SE Edwards Dr
Dundee, OR 97115-9601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C3379 (OR) |
| Counselor | 101Y00000X | NCC 265054 (OR) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MAC 507626 (OR) |
Professional Counselor: Definition to come...
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About NPI 1396994927
Luke Charles Matteucci, MS, MA, NCC, MAC's National Provider Identifier is 1396994927, issued on Sep 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newberg, OR. The record was last updated on Dec 28, 2015.