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Individual
MATTHEW EDWARD VAN DE NORTH
Active
Individual
MATTHEW EDWARD VAN DE NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0015386
CO
Other
Enumeration date
08/14/2013
Last updated
10/26/2023
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