Individual provider · Type 1 NPI
Matthew Glenn Eubanks, LPC
Professional Counselor · Fort Worth, TX
NPI number
1083755201
Active
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Mailing address
PO Box 2603
Fort Worth, TX 76113-2603
Other practice locations
- 2311 Fortune Dr, Lexington, KY 40509-4264 · (859) 253-1686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 0304 (KY) |
| Professional Counselor Primary | 101YP2500X | 84238 (TX) |
Professional Counselor: Definition to come...
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About NPI 1083755201
Matthew Glenn Eubanks, LPC's National Provider Identifier is 1083755201, issued on Feb 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 30, 2022.