Individual
CASSANDRA HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 OLD FREDERICK RD, BALTIMORE, MD 21229-2838
(240) 516-8021
Mailing address
4345 OLD FREDERICK RD, BALTIMORE, MD 21229-2838
(240) 516-8021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2372
MD
101YM0800X
Mental Health Counselor
ADT2372
MD
101YP2500X
Professional Counselor
ADT2372
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4345
—
MD
Enumeration date
12/03/2021
Last updated
09/15/2023
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