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Individual

MR. JONATHAN DWAYNE HOLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC II

Contact information

Practice address
4330 FREEMARK DR, SMYRNA, TN 37167-8417
(615) 604-6988
Mailing address
4330 FREEMARK DR, SMYRNA, TN 37167-8417
(615) 604-6988

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001255
TN

Other

Enumeration date
01/10/2024
Last updated
04/28/2026
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