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Matthew Thames, M.A., LPC

NPI 1083821326 · on the registry since 2007 · sole proprietor

Practice

Address: 2508 Lakeland Dr
Suite 200
Flowood, MS 39232
Phone: (601) 664-0455
Fax: (601) 664-1675
Organisation at this address: The Shepherd'S Staff
Providence Counseling Service, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi