Individual
MR. MICHAEL IRA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 NW 7TH ST, OKLAHOMA CITY, OK 73102-2810
(140) 523-0115
Mailing address
3605 GREENWAY TER, DEL CITY, OK 73115-2717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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