Individual
MATTHEW JON MCUMBER
Active
Individual
MATTHEW JON MCUMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC, CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1158
TN
1041C0700X
Clinical Social Worker
Primary
6110
GA
1041C0700X
Clinical Social Worker
6464
TN
Other
Enumeration date
06/21/2017
Last updated
04/07/2020
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