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Individual

J MATTHEW ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LMFT

Contact information

Practice address
3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-7231
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3518
SC
106H00000X
Marriage & Family Therapist
MFT000966
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298608663A
GA
Enumeration date
10/26/2006
Last updated
03/16/2018
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