Individual
MR. MATHEW WILLIAM CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(703) 534-5100
Mailing address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(704) 534-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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