Individual
LISA SMITH MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
112 JOHN ST STE 101, EASLEY, SC 29640-1405
(864) 442-7585
(864) 859-9648
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4681
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2090
—
SC
Enumeration date
11/10/2011
Last updated
05/13/2021
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