Individual
MATTHEW THOMAS RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LICDC-CS
Contact information
Practice address
30 OVERBROOK DR, SUITE C, MONROE, OH 45050-3100
(513) 539-5250
(513) 539-5371
Mailing address
30 OVERBROOK DR, SUITE C, MONROE, OH 45050-3100
(513) 539-5250
(513) 539-5371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0701155-SUPV
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.081029
OH
Other
Enumeration date
12/20/2012
Last updated
03/16/2017
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