Individual
MR. MATTHEW R THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
2508 LAKELAND DR, SUITE 200, FLOWOOD, MS 39232-9502
(601) 664-0455
(601) 664-1675
Mailing address
903 POST RD, CLINTON, MS 39056-3839
(601) 750-8977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1119
MS
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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