Individual
MATTHEW ANTHONY LIGUORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1070 QUIET CV APT 7200, GRANBURY, TX 76048-4427
(512) 665-1256
Mailing address
1070 QUIET CV APT 7200, GRANBURY, TX 76048-4427
(512) 665-1256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400
—
TX
Enumeration date
03/17/2018
Last updated
02/27/2025
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