Individual provider · Type 1 NPI

Matthew Gannon

Addiction (Substance Use Disorder) Counselor · Burnsville, NC

NPI number 1194133090 Active

Practice location

72 Blue Ridge Ln
Burnsville, NC 28714-7270

Fax (828) 682-9323

Mailing address

6 S Bear Creek Rd
Asheville, NC 28806-1502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-20711 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194133090

Matthew Gannon's National Provider Identifier is 1194133090, issued on Jul 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burnsville, NC. The record was last updated on Jul 24, 2014.