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Individual

MR. WILLIAM HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAT, LPC

Contact information

Practice address
1122 NE GOING ST, PORTLAND, OR 97211-4642
(917) 407-9641
Mailing address
1122 NE GOING ST, PORTLAND, OR 97211-4642
(917) 407-9641

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001114
NY
101YP2500X
Professional Counselor
C5988
OR
101YP2500X
Professional Counselor
Primary
C7186
OR

Other

Enumeration date
05/14/2012
Last updated
09/04/2023
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