Individual
MATTHEW GRANT HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
4949 ALBEMARLE RD, CHARLOTTE, NC 28205-6629
(704) 532-4262
Mailing address
1016 HERRIN AVE, CHARLOTTE, NC 28205-1222
(704) 999-5829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-I
NC
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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