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Individual
MR. MATTHEW GLENN EUBANKS
Active
Individual
MR. MATTHEW GLENN EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0304
KY
101YP2500X
Professional Counselor
Primary
84238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
02/09/2007
Last updated
03/30/2022
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