Provider Demographics
NPI:1558906859
Name:MATTEO, JEANNE KATHLEEN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:KATHLEEN
Last Name:MATTEO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:KATHLEEN
Other - Last Name:STAPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:459 ROCK RUN RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8819
Mailing Address - Country:US
Mailing Address - Phone:570-578-3651
Mailing Address - Fax:
Practice Address - Street 1:459 ROCK RUN RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-8819
Practice Address - Country:US
Practice Address - Phone:570-578-3651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-10
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional