Individual
ROBERT DONNELL MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC, BCC
Contact information
Practice address
6115 FALLS RD, SUITE LL-B, BALTIMORE, MD 21209-2219
(410) 635-4252
(410) 377-5530
Mailing address
5907 PLAINFIELD AVE, BALTIMORE, MD 21206-2722
(443) 794-6926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3617
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038738000
—
MD
Enumeration date
10/02/2008
Last updated
09/12/2012
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