Individual
MATTHEW CAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7752 N CANTON CENTER RD STE 120, CANTON, MI 48187-1328
(734) 357-8328
Mailing address
7752 N CANTON CENTER RD STE 120, CANTON, MI 48187-1328
(734) 357-8328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401017565
MI
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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