# C HOLLIDAY COUNSELING SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528726585
- **Authorized official:** CASSANDRA HOLLIDAY COUNSELOR (OWNER)
- **Authorized official phone:** (240) 516-8021

## Contact information

- **Practice address:** 4345 OLD FREDERICK ROAD, BALTIMORE, MD 21229-2838
- **Practice address phone:** (240) 516-8021
- **Mailing address:** 4345 OLD FREDERICK ROAD, BALTIMORE, MD 21229-2838
- **Mailing address phone:** (240) 516-8021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 12/07/2021
- **Last updated:** 12/07/2021