Individual provider · Type 1 NPI

Matthew Gravely, CDCA

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1386239168 Active

Practice location

36 N Detroit St
Xenia, OH 45385-2909

Call (937) 610-4673 Map

Fax (513) 737-1107

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.181860 (OH)
Behavior Technician 106S00000XNone listed

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

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About NPI 1386239168

Matthew Gravely, CDCA's National Provider Identifier is 1386239168, issued on Mar 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Nov 22, 2023.