Glenn Moore Mathews, LPC, LMFT

NPI #1215120134 in Radford, Virginia

Provider Information

NPI Number: 1215120134
Entity Type: Individual
Name: Glenn Moore Mathews, LPC, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC, LMFT
Enumeration Date: Aug 23, 2007
Last Updated: Mar 22, 2011

Practice Location

Address: 600 E MAIN ST
Address 2: SUITE C
City: Radford
State: Virginia
ZIP Code: 24141-1826
Phone: (540) 731-0838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Marriage & Family Therapist	106H00000X

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