Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN DWAYNE HOLIDAY, LADACLL
ActiveMR. JONATHAN DWAYNE HOLIDAY, LADACLL is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SMYRNA, Tennessee. NPI 1629849427 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SMYRNA, TN
Registration Details
- NPI Number
- 1629849427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2024 (2.6380359211337 yrs)
- Last Updated
- Jul 24, 2024
- License
-
LDC0000001255 (TN)
Practice Information
- Address
-
4330 FREEMARK DRSMYRNA, TN, 371678417Browse TN providers · Browse ZIP 37167
- Phone
- 6156046988
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SMYRNA, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELE ALEXANDER BOWDOIN | SAP, NCACI | 1366707937 |
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.