Individual
MATTHEW TYLER VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
345 HOLMAN AVE, ATHENS, GA 30606-2825
(404) 693-5293
Mailing address
562 PARK PL APT 3B, BROOKLYN, NY 11238-4706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015292
GA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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