Individual
MATTHEW JEREMY GROOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CACII
Contact information
Practice address
6326 GARDEN LN, FLOWERY BRANCH, GA 30542-5029
(678) 849-7021
Mailing address
6326 GARDEN LN, FLOWERY BRANCH, GA 30542-5029
(678) 849-7021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3472
GA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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