Matthew Glenn Eubanks, LPC
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1083755201
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1083755201
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Glenn Eubanks
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2007
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 84238 | TX | Yes |
| 101YP2500X | Counselor, Professional | 0304 | KY |
Practice location
3840 Hulen StFort Worth, TX 76107-7277
Phone 817-335-3022
Mailing address
Po Box 2603Fort Worth, TX 76113-2603
Phone 817-569-4300
Other practice locations
2311 Fortune Dr
Lexington, KY 40509-4264
Lexington, KY 40509-4264
Phone 859-253-1686 · Fax 859-254-2743
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