Most Relevant Information
Provider Data
| NPI Number: | 1003369877 |
| Provider Name: | MATTHEW FUENFHAUSEN LCAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CSAC-20156 |
Most Important Dates
| Enumeration Date: | 07/28/2016 |
| Last Updated: | 07/28/2016 |
Provider Practice Location
1430 ASHEVILLE HWY
HENDERSONVILLE
NC
287912302
Practice Location Phone/Fax
| Phone: | 8286974187 |
| Fax: |
Provider Mailing Location
75 CONGRESS ST
ASHEVILLE
NC
288014342
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |