Individual
MR. CLEM HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-4240
(256) 582-4161
Mailing address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-4240
(256) 582-4161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
06/23/2011
Last updated
07/10/2012
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