Individual
DR. MATTHEW BRANNON TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC, ALPS
Contact information
Practice address
711 PARK ST, MORGANTOWN, WV 26501-6940
(304) 319-0396
Mailing address
711 PARK ST, MORGANTOWN, WV 26501-6940
(304) 319-0396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2204
WV
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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