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Individual

TERRY HOLBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CATC III, APCC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
092114-III
CA
101YP2500X
Professional Counselor
Primary
11623
CA

Other

Enumeration date
01/08/2014
Last updated
06/20/2023
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