Individual
MRS. JAMICE AMANDA HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
7606 ELMCREST RD, HANOVER, MD 21076-1873
(240) 599-6255
Mailing address
7606 ELMCREST RD, HANOVER, MD 21076-1873
(240) 599-6255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC13761
MD
101YM0800X
Mental Health Counselor
LC13761
MD
101YP2500X
Professional Counselor
LC13761
MD
Other
Enumeration date
03/02/2020
Last updated
03/28/2024
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