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Individual

MR. MATTHEW SHEPHERD LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC-P

Contact information

Practice address
8585 OLD DAIRY RD STE 203, JUNEAU, AK 99801-8094
(585) 729-3000
Mailing address
PO BOX 34223, JUNEAU, AK 99803-4223
(585) 729-3000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
201662
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104463629
NY
Enumeration date
12/03/2019
Last updated
07/11/2024
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