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Individual
MATTHEW CAROLAN
Active
Individual
MATTHEW CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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