Provider Demographics
NPI:1346346376
Name:SABLE, MATTHEW J (MA, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:SABLE
Suffix:
Gender:M
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6B MINNEAKONING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5760
Mailing Address - Country:US
Mailing Address - Phone:908-391-2542
Mailing Address - Fax:908-391-2542
Practice Address - Street 1:6B MINNEAKONING RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-391-2542
Practice Address - Fax:908-391-2542
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00305100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0036030Medicaid