Mathews, Glenn Moore

Mathews, Glenn Moore is an sole proprietor health care provider with primary practice located at 600 E Main St Suite C, Radford VA 24141-1826. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mathews, Glenn Moore can be contacted via phone (540) 731-0838.

Contact Information

Primary practice address
600 E Main St Suite C Radford VA 24141-1826
Phone: (540) 731-0838
Fax: (540) 731-3375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002141 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 50 Virginia

Profile Details

NPI number 1215120134
LBN Legal business name Mathews, Glenn Moore
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Mar 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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