Individual
MR. MATTHEW JOSEPH HOLKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LICSW
Contact information
Practice address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
(651) 661-6551
Mailing address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
(651) 661-6551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1636
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
303057
MN
1041C0700X
Clinical Social Worker
Primary
18890
MN
Other
Enumeration date
10/20/2011
Last updated
01/27/2022
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