Individual
MARK ALAN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1515 N STEPHENSON HWY, ROYAL OAK, MI 48067-1526
(248) 542-6070
(248) 542-3210
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006744
MI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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