Individual
MR. MATTHEW ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LPC
Contact information
Practice address
602 E ACADEMY ST STE 105, FUQUAY VARINA, NC 27526-2382
(919) 753-1275
Mailing address
992 FALLS PARK DR, SANFORD, NC 27330-8302
(910) 585-0028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7740
NC
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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