Individual
MATTHEW JAMES HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LSW
Contact information
Practice address
1508 4TH AVE S, MOORHEAD, MN 56560-3061
(218) 443-6383
Mailing address
1508 4TH AVE S, MOORHEAD, MN 56560-3061
(218) 443-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303207
MN
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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