Individual provider · Type 1 NPI
Gerard Louis Dematteo, MA, LPC
Mental Health Counselor · Rutherford, NJ
NPI number
1548852841
Active
Practice location
161 W Passaic Ave
Rutherford, NJ 07070-1934
Mailing address
102 E Van Ness Ave
Rutherford, NJ 07070-1834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00710900 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1548852841
Gerard Louis Dematteo, MA, LPC's National Provider Identifier is 1548852841, issued on Feb 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rutherford, NJ. The record was last updated on Feb 8, 2021.