Individual
HAROLD HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA PSYCH, BSW, MSW
Contact information
Practice address
2800 JOE DIMAGGIO BLVD UNIT 40, ROUND ROCK, TX 78665-3951
(585) 510-9625
Mailing address
703 GLENMOSE RD, FAIRPORT, NY 14450-3865
(158) 551-0962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21230609
NY
1041C0700X
Clinical Social Worker
Primary
804426
—
Other
Enumeration date
11/17/2021
Last updated
12/05/2021
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