Individual
JONATHAN C MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA COUNSELING
Contact information
Practice address
3646 CENTRAL AVE, CHARLOTTE, NC 28205-6064
(704) 910-5810
Mailing address
6443 BURLWOOD RD, CHARLOTTE, NC 28211-5603
(980) 275-0143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A18188
NC
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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