Provider Demographics
NPI:1790427458
Name:MATEO, EUCLIDES (MA, LAC, CPRS)
Entity type:Individual
Prefix:
First Name:EUCLIDES
Middle Name:
Last Name:MATEO
Suffix:
Gender:M
Credentials:MA, LAC, CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GARRABRANT RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1512
Mailing Address - Country:US
Mailing Address - Phone:201-737-0800
Mailing Address - Fax:
Practice Address - Street 1:333 WESTFIELD AVE APT 402
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1670
Practice Address - Country:US
Practice Address - Phone:201-737-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171400000XOther Service ProvidersHealth & Wellness Coach