Individual
MATTHEW GUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8401 MEDICAL PLAZA DR, SUITE 360, CHARLOTTE, NC 28262-8797
(704) 208-4458
(866) 309-6385
Mailing address
8401 MEDICAL PLAZA DR STE 360, CHARLOTTE, NC 28262-8700
(704) 208-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11469
NC
101YP2500X
Professional Counselor
Primary
11469
NC
Other
Enumeration date
07/01/2015
Last updated
08/09/2019
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