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Individual
MR. JONATHAN DWAYNE HOLIDAY
Active
Individual
MR. JONATHAN DWAYNE HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001255
TN
Other
Enumeration date
01/10/2024
Last updated
04/28/2026
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