# MELISSA DAWN HOLLOMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225227101
- **Gender:** F
- **Credential:** LISW-CP & AP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 4989 | SC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 4989 | SC | — |
| 101YM0800X | Mental Health Counselor | 4989 | SC | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | 4989 | SC | — |
| 104100000X | Social Worker | 4989 | SC | — |
| 1041C0700X | Clinical Social Worker | 4989 | SC | Yes |
| 106H00000X | Marriage & Family Therapist | 4989 | SC | — |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 06/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Q322560281 | MEDICARE | SC |