Individual provider · Type 1 NPI
Mary Susan Mathis, MA, LPC
Professional Counselor · Cassatt, SC
NPI number
1679693006
Active
Practice location
1261B Cheraw Rd
Cassatt, SC 29032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 5298 (SC) |
| Professional Counselor Primary | 101YP2500X | 5298 (SC) |
Professional Counselor: Definition to come...
About NPI 1679693006
Mary Susan Mathis, MA, LPC's National Provider Identifier is 1679693006, issued on Mar 30, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cassatt, SC. The record was last updated on Jul 30, 2018.