Individual
MATTHEW DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2376 MAIN ST, TUCKER, GA 30084-4492
(470) 223-8511
Mailing address
3120 MORGAN RD, BUFORD, GA 30519-5395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC009117
GA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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