Individual
BENJAMIN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
800 N 6TH ST, HIAWATHA, KS 66434-1717
(785) 992-1531
Mailing address
PO BOX 91, HIAWATHA, KS 66434-0091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00914
KS
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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