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Individual

MATTHEW FUENFHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAS

Contact information

Practice address
1430 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-2302
(828) 697-4187
Mailing address
75 CONGRESS ST, ASHEVILLE, NC 28801-4342

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-20156
NC

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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