Individual
TIMOTHY HOLSATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
624 US HIGHWAY 17 S, STE. 2, HOLLY RIDGE, NC 28445-8660
(910) 616-2156
Mailing address
1921 PRESTWICK LN, WILMINGTON, NC 28405-4129
(910) 616-2156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1599
NC
Other
Enumeration date
02/25/2013
Last updated
07/14/2014
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