Provider Demographics
NPI:1912955071
Name:BRAM, MATTHEW GARRETT (LPCS, LCAS, MAC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:GARRETT
Last Name:BRAM
Suffix:
Gender:M
Credentials:LPCS, LCAS, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WIND STONE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-8806
Mailing Address - Country:US
Mailing Address - Phone:828-696-6850
Mailing Address - Fax:888-876-4026
Practice Address - Street 1:20 WIND STONE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-8806
Practice Address - Country:US
Practice Address - Phone:828-696-6850
Practice Address - Fax:888-876-4026
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1906101YA0400X
NCS7469101YP2500X
NC7469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS7469OtherNORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS NCBLPC