Individual provider · Type 1 NPI

Matthew Thomas Wickman

Addiction (Substance Use Disorder) Counselor · Dayton, NJ

NPI number 1467329516 Active

Practice location

12 Stults Rd Ste 137
Dayton, NJ 08810-1549

Call (732) 808-2725 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467329516

Matthew Thomas Wickman's National Provider Identifier is 1467329516, issued on Oct 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, NJ. The record was last updated on Oct 22, 2025.