Individual
DR. TIMOTHY HOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
735 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9402
(901) 682-8452
Mailing address
735 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
305
TN
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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