Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW GANNON
Active Sole ProprietorMATTHEW GANNON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BURNSVILLE, North Carolina. NPI 1194133090 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BURNSVILLE, NC
Registration Details
- NPI Number
- 1194133090
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2014 (11.914584717545 yrs)
- Last Updated
- Jul 24, 2014
- License
-
LCAS-20711 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
72 BLUE RIDGE LNBURNSVILLE, NC, 287147270Browse NC providers · Browse ZIP 28714
- Phone
- 8286822111
- Fax
- 8286829323
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BURNSVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. TAYLOR FRANCIS VAN BUSKIRK | LPC, LCAS, CSI, NCC | 1598113037 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.