Individual
TIFFANY MONIQUE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8303 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-5708
(773) 559-6161
Mailing address
8303 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-5708
(773) 559-6161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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