Individual
MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3471 OHIO RIVER ROAD, POINT PLEASANT, WV 25550
(304) 812-5965
(304) 812-5961
Mailing address
PO BOX 457, BEAVER, PA 15009-0457
(724) 660-4159
(724) 660-4233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00943198
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00943198
WV STATE
WV
Enumeration date
12/19/2017
Last updated
12/19/2017
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