Individual
BONNIE MATYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1443 2ND AVE, COLUMBUS, GA 31901
(706) 505-3574
(706) 507-3578
Mailing address
PO BOX 8885, COLUMBUS, GA 31908
(706) 507-3574
(706) 507-3578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003613
GA
Other
Enumeration date
11/29/2006
Last updated
02/26/2010
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