Individual
MATTHEW PATRICK MCCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
115 FORESTVIEW LN N, PLYMOUTH, MN 55441-5910
(763) 546-8008
(763) 546-7674
Mailing address
115 FORESTVIEW LN N, PLYMOUTH, MN 55441-5910
(763) 546-8008
(763) 546-7674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302288
MN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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