Individual
MATTHEW R LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-R
Contact information
Practice address
3404 ACORN ST, WILLIAMSBURG, VA 23188-1095
(757) 784-4731
Mailing address
100 CHANCO RD, WILLIAMSBURG, VA 23185-2404
(757) 784-4731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704005201
VA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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