Marvon Shane Holdaway, CM
Marvon Shane Holdaway, CM is a Substance Use Disorder Rehabilitation Clinic/Center in Mount Pleasant, Utah. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
265 N State StMount Pleasant, UT 84647-1108
Phone: (435) 462-2781
Fax: (435) 462-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|
Record details
| NPI number | 1053045898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CM |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
Other providers in Mount Pleasant
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Dakota Ellett, CASEMANAGEMENT
265 N State St, Mount Pleasant, UT 84647-1108 · (435) 462-2781
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Cindy Kay Hansen
265 N State St, Mount Pleasant, UT 84647-1108 · (435) 462-2781
-
Mr. Richard Pratt Heilbut, CPSS
265 N State St, Mount Pleasant, UT 84647-1108 · (435) 462-2781
-
Deaun Larson Holdaway, UNLICENSEDPROVIDER
265 N State St, Mount Pleasant, UT 84647-1108 · (435) 462-2781
-
Clinton Samuel White
265 N State St, Mount Pleasant, UT 84647-1108 · (435) 462-2781