Individual
HOLLY M GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1760
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY1001520
DC
Other
Enumeration date
12/10/2014
Last updated
08/08/2019
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