Provider Demographics
NPI:1457694051
Name:MATHIAS, SONYA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:
Last Name:MATHIAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 QUINTIN PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6132
Mailing Address - Country:US
Mailing Address - Phone:919-425-1860
Mailing Address - Fax:
Practice Address - Street 1:2 QUINTIN PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6132
Practice Address - Country:US
Practice Address - Phone:919-425-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional