Individual
M. GARSWA MATALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
1300 E 9TH ST, OWENSBORO, KY 42303-0337
(270) 297-7332
Mailing address
1300 E 9TH ST, OWENSBORO, KY 42303-0337
(270) 297-7332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301001
KY
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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