MATTHEW GANNON

BURNSVILLE, NC
NPI1194133090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-20711)
Enumeration Date2014-07-24
Last Update Date2014-07-24
Business Address
-- MATTHEW GANNON
72 BLUE RIDGE LN
BURNSVILLE, NC 28714-7270
Phone number: 828-682-2111
Mailing Address
-- MATTHEW GANNON
6 S BEAR CREEK RD
ASHEVILLE, NC 28806-1502
Phone number: