Individual
GREGORY MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-9209
Mailing address
2822 28TH ST SE, WASHINGTON, DC 20020-2618
(301) 919-6348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC195
DC
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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