JONATHAN DWAYNE HOLIDAY

SMYRNA, TN
NPI1629849427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN  LDC0000001255)
Enumeration Date2024-01-10
Last Update Date2024-07-24
Business Address
MR. JONATHAN DWAYNE HOLIDAY LADACLL
4330 FREEMARK DR
SMYRNA, TN 37167-8417
Phone number: 615-604-6988
Mailing Address
MR. JONATHAN DWAYNE HOLIDAY LADACLL
4330 FREEMARK DR
SMYRNA, TN 37167-8417
Phone number: 615-604-6988
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