Individual
MARK MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LGPC, NCC
Contact information
Practice address
102 E CECIL AVE STE D, NORTH EAST, MD 21901-4057
(484) 849-1068
Mailing address
102 E CECIL AVE STE D, NORTH EAST, MD 21901-4057
(484) 849-1068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14100
MD
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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