Individual
MR. MATTHEW DAVID SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
820 GRIMES BLVD, LEXINGTON, NC 27292-7640
(336) 224-6071
(336) 224-6393
Mailing address
350 PEE DEE AVE STE A, ALBEMARLE, NC 28001-4932
(704) 986-1500
(336) 224-6393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6115106
—
NC
Enumeration date
10/06/2009
Last updated
12/20/2013
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