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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-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.