Individual
GLENN MOORE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
600 E MAIN ST, SUITE C, RADFORD, VA 24141-1826
(540) 731-0838
(540) 731-3375
Mailing address
600 E MAIN ST, SUITE C, RADFORD, VA 24141-1826
(540) 731-0838
(540) 731-3375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002141
VA
106H00000X
Marriage & Family Therapist
50
VA
Other
Enumeration date
08/23/2007
Last updated
03/22/2011
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